Learning from Deaths Policy
Kent and Medway NHS and Social Care Partnership Trust believes that concentrating attention on the factors that cause deaths will impact positively on all persons who use services, reducing complications, length of stay and readmission rates through improving pathways of care, reducing variability of care delivery, and early recognition and escalation of concerns.
- Publication date:
- 31 January 2021
- Date range:
- January 2021- September 2022
16. Monitoring compliance with and effectiveness of this document
16.1
The Mortality Review Manager track progress of action implementation, escalating any concerns through the Trust Wide Patient Safety and Mortality Review Group (TWPS&MRG)
| What will be monitored | How will it be monitored | Who will monitor | Frequency | Evidence to demonstrate monitoring | Action to be taken in the even on non compliance |
|---|---|---|---|---|---|
| The policy process | Data and information will be provided in a report to TWPS&MRG via Mortality Report | TWPS&MRG | Quarterly | Data collection of types of SJR cases reviewed produced to TWPS&MRG in Mortality Report | Escalate to TWPS&MRG meeting |
| Numbers of STEIS cases reported following SJR process | Data and information will be provided in a report to TWPS&MRG via Mortality Report and Patient Safety report | TWPS&MRG | Quarterly | Mortality Report | Escalate to TWPS&MRG meeting |
| Learning and concerns highlighted from Structured Judgement Reviews | Reporting through TWPS&MRG via Trust-wide mortality action plan | TWPS&MRG | Quarterly | Mortality Report and Patient Safety Report | Escalate to TWPS&MRG meeting |