I would like to request the following information – A list of all serious untoward incidents in the calendar year 2015 so far, for each hospital site you cover.
As part of Trust Board Papers (Safety SitRep section in the Integrated Quality and Performance Report), the Trust publishes a list of all SUI’s (Serious Untoward Incidents) that have been investigated through a Trust level investigation process. This list provides a high level summary of the incident and once the investigation has been completed, includes a summary of the recommendations.
Please note: This list does not include all incidents which are reported to our Commissioners under the National Serious Incident Framework.
The Trust board papers are available at this site https://hgs.uhb.nhs.uk/trust-board-papers-and-meetings/.
As the information is already, or will be once available, published elsewhere, exemptions under sections 21 and 22 of the FOIA are applicable, however for your ease we have also provided a very high level list.
| Date of Incident | Location of Incident | Brief Description | Investigation Outcome / Key Themes |
| 12/03/15 | Solihull Hospital | Missed pneumothorax diagnosis | Misinterpretation of chest x-ray, communication |
| 13/02/15 | Heartlands Hospital | Sub-optimal care of deteriorating patient | Lack of monitoring of blood tests, delay in transfer to critical care |
| 11/02/15 | Good Hope Hospital | Wrong body released | Investigation on-going |
| 03/06/15 | Heartlands Hospital | Unexpected neonatal death | Currently under investigation |
| 18/04/15 | Heartlands Hospital | Unexpected intrapartum death | Currently under investigation |
| 21/02/15 | Heartlands Hospital | Unexpected death | Communication, documentation, direct patient observation |
| 14/04/15 | Good Hope Hospital | Recognition of deteriorating patient | Currently under investigation |
