Writing Investigation Report

Writing Investigation Report

1. Reference
Patient’s Particulars and Brief History
3. Brief Description of the Incident
4. Mode of Investigation Performed
5. Findings
1. Details of the incident
2. Identified factors attributing to the incident
6. Conclusion
7. Actions Taken
1. Immediate
2. Long Term
8. Recommendation
9. Appendix / Attachment
 Attributing Factors

1. People
- Attitude, Skills, Knowledge (ASK)
- Manpower
4. System
- Management
- Policies – Corporate / Hospital / Department / Specific / HR
- Values, structure, Legal Concerns, Financial Concerns
8. Material
- Consumables / Tools / Instrument / Equipment / Machinery /
Environment
11. Method
- Checklist / Chart / Routine / Procedure / Guideline / Workflow
 Identifying Attributing Factors
Sample

Incident Faults People System Material Method

Sending of Specimen attitude P.I. collection Record /
Support box documentation
Incident of
Availability and attitude 　 　 Record /
T/O Influenza
confirmation of documentation
A Patient to
Result
General Ward
Transfer out of attitude 　 　 checklist, counter-
Patient check
 Question Asked When Formulating the Report

1. What
- What was happened
- What department / area was involved
- What was the cause / predisposing factors
- What was the outcome / implication
- What action was taken
- What was the conclusion / recommendation
- What was attached for reference
 Question Asked When Formulating the Report

2. When
- When was the incident happened
- When was the concerned parties being informed
- When was the remedial action being taken
 Question Asked When Formulating the Report

3. Where
- Where was the location / vicinity
3. Who
- Who was involved – staff / client / others
- Who was being informed
6. Why
- Why the incident was happened
- Why the staff / person was being involved
 Question Asked When Formulating the Report

6. How
- How the incident was happened
- How the incident was discovered
- How the investigation was done
- How the remedial action was done / planned
- How the staff was being involved
- How was the conclusion / recommendation was made
 After
Q&A
Revise and Supplement the Report
Accordingly
 Writing Investigation Report

1. Reference
Patient’s Particulars and Brief History
3. Brief Description of the Incident
4. Mode of Investigation Performed
5. Findings
1. Details of the incident
2. Identified factors attributing to the incident
6. Conclusion
7. Actions Taken
1. Immediate
2. Long Term
8. Recommendation
9. Appendix / Attachment
 END
Thank You