Duty of Candour activity 2022/2023
During the reporting period, 4 events triggered the organisational Duty of Candour; table 1 below shows the breakdown of these in relation to the outcome of the event.
During this period, no families requested to meet to discuss the findings of a DoC investigation.
Table 1: Duty of Candour rationale
Nature of unexpected or unintended incident where Duty of Candour applies |
Number |
---|---|
A person died. |
1 |
A person suffered permanent lessening of bodily, sensory, motor, physiologic or intellectual functions. |
0 |
Harm which is not severe harm but results or could have resulted in: |
|
An increase in the person’s treatment. |
2 |
Changes to the structure of the person’s body. |
1 |
The shortening of the life expectancy of the person. |
0 |
An impairment of the sensory, motor or intellectual functions of the person which has lasted, or is likely to last, for a continuous period of at least 28 days. |
0 |
The person experiencing pain or psychological harm which has been, or is likely to be, experienced by the person for a continuous period of at least 28 days. |
0 |
The person required treatment by a registered health professional in order to prevent: |
|
The person dying. |
0 |
An injury to the person which, if left untreated, would lead to one or more of the outcomes mentioned above. |
0 |
Total |
4 |
Regardless of DoC status, when adverse events occur, the appropriate team makes contact with patients and/or families to advise of an event and the investigation process.