CAPA / Deviation

[bmsjbatt]

Yes, that can be a bit of a problem. I gather that at some places the high number of incidents/ deviations being reported by the lab. is being taken by senior management as a negative indicator of practices rather than showing a positive, open reporting culture by the lab staff, who are willing to address issues rather than sweep these under the carpet...as has been done for many years.

As always these things are sent to try us!

Rashmi, To try and get these senior managers on-side you may try liaising with your risk & safety team. beacause they have evidence that shows that under reporting of incidents is seen as a negative thing and may influence the NHSLA grouping that the trust is awarded, and thereby a real financial cost pressure, we have been able to use this to persuade managers that adequate reporting of errors and incidents is critical as this is the only way we can improve, and save money!!!

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[RR1]

Hi Jo, thanks- I recall reading something similar on the NPSA website, this mentioned that an increased reporting of incidents is generally classified as showing improved performance, and a more open culture within the organisation.

[bmsjbatt]

Indeed, and in my experience our hospital managers are taught to respond positively to evidence based changes of practice, so use tools like NPSA etc to give you some leverage.
We were encouraged to have stronger links with our Trust Risk and Safety Team by our last MHRA inspector, in part because he was unhappy with us not having ownership of all of the resolution procedures especially ones outside our department, but we now have an excellent relationship whereby our Trust reporting process has been modified to satisfy our requirements.