Formal Investigation of a fall with injury
Any Moderate or Severe Harm fall will under go a Root Cause Analysis
The RCA will be conducted by the ward manager and matron and will look
more closely at the circumstances leading up to, during and after the fall
from all AHP's perspectives to determine what was done well, what could
have been improved and can be learnt from the incident.
Following the RCA a decision will be made by the matron and Head of
Nursing as to whether the incident needs to be investigated as a Serious
The Head of Nursing will chair an SI meeting to determine if the incident
needs to be reported as a SI to the CQC.