Changes to Datix
Pressure ulcers - developed or deteriorated within DCHS care
There is no change to current practice regarding the reporting of pressure ulcers or the current definition of significant harm. If significant harm has occurred to a patient as a result of a pressure ulcer within DCHS care a tabular timeline investigation will be completed. Any care delivery problems as well as good practice will be identified to formulate an agreed action plan with the tissue viability team who will further support a post action review. This process is already established and has replaced the previous RCA process. From 1 April 2021 if it is noted on investigation that clinical observations were either not taken or taken and not acted upon, then a Patient Safety Incident Investigation will be carried out with the support of the patient safety team and tissue viability.
All other (non-pressure related) wounds – developed or deteriorated in DCHS care
From 1 April 2021 where significant harm has occurred to a patient as a result of a non-pressure related wound that has developed or deteriorated in DCHS care an incident should be reported via Datix. This is a change to current practice and changes have been made to Datix to support this reporting (CATEGORY - Injury or damage to Skin (not pressure ulcer) > SUBCATEGORY - Leg Ulcer / Surgical Wound / Diabetic Foot). Once selected further questions will appear in Datix relating to the completion of NEWS2 which will need to be completed. If it is identified on investigation that clinical observations were either not taken or taken and not acted upon appropriately, then a Patient Safety Incident Investigation will be carried out with the support of the Patient Safety Team and Tissue Viability.
Training for incident managers is currently available to book via ESR (842 - People Management Masterclasses - Investigation Training)