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Information and public services for the Island of Jersey

L'înformâtion et les sèrvices publyis pouor I'Île dé Jèrri

Health and Community Services Quality and Performance report - patient safety (FOI)

Health and Community Services Quality and Performance report - patient safety (FOI)

Produced by the Freedom of Information office
Authored by Government of Jersey and published on 20 January 2022.
Prepared internally, no external costs.

Request

The Government of Jersey Health and Community Services Quality and Performance Report dated June 2021 quotes data on Patient Safety on page 15.

This states that the number of patient safety incidents during the period June 2020 to June 2021 were 4,412 (four thousand four hundred and twelve) which is alarmingly high.

A
Please provide a breakdown of the nature of the incidents and the numbers involved in each type of incident.

B
How many of these incidents resulted in the death of the patient?

C
During that same time frame, there were 415 complaints received. How many of those related to situations where a patients life was put at risk?

Response

A.

 

Jun 2020

Jul

Aug

Sep

Oct

Nov

Dec

Jan  2021

Feb

Mar

Apr

May

Jun

Total

Contractor


8

Employees

47

48

64

45

67

44

64

55

48

48

56

51

56

693

Members of Public/Visitors


24

Organisation

25

33

21

21

24

26

20

10

11

18

13

8

30

260

Patient/Client/Service User

207

303

278

217

275

221

235

207

261

248

277

256

287

3427

 

Patient/Client Service User broken down by the nature of the incident

Jun 2020

Jul

Aug

Sep

Oct

Nov

Dec

Jan 2021

Feb

Mar

Apr

May

Jun

Total

Access, appointment, admission, transfer, discharge

9

24

25

16

24

27

14

19

35

35

30

26

39

323

Accident that may/did result in personal injury (e.g.- slips, trips, falls, etc..

44

45

47

46

48

29

46

28

46

42

33

44

44

542

Anaesthesia

 

 

 

 

 

 

 

 

 

 

 

 

 

10

Behaviour/Harassment/Violence/Abuse/Self harm

33

58

59

22

42

37

55

33

34

36

32

21

49

511

Blood Transfusion and Related Problems

 

 

 

 

 

 

 

 

 

 

 

 

 

54

Clinical Assessment (investigations, images and lab tests)

13

10

13

14

11

11

17

11

7

14

10

5

15

151

Consent, Confidentiality or Communication

15

8

6

9

10

11

6

 17

7

14

5

9

117

Diagnosis Failed or Delayed

 

 

 

 

 

 

 

 

 

 

 

 

 

49

Implementation of Care or Ongoing Monitoring/Review

19

17

9

5

6

13

7

8

6

6

10

8

114

Infection Control Issue

 

 

 

 

 

 

 

 

 

 

 

 

 

27

Infrastructure or resources (Staffing, Facilities, Environment)

5

8

12

7

8

3

6

4

6

1

13

13

16

102

Maternity Triggers/Neonatal Triggers **

29

29

18

29

24

27

27

34

21

37

38

34

24

371

Medical Adhesive Related Skin Injury (MARSI)

 

 

 

 

 

 

 

 

 

 

 

 

 

11

Medical Devices/Equipment

 

 

 

 

 

 

 

 

 

 

 

 

 

32

Medication (this includes administration, advice, monitoring, preparation, prescribing and  supply of over the counter medications)

25

34

25

15

26

26

10

22

21

19

23

22

20

289

Moisture Associated Skin Damage

  • Developed in care

  • Present prior to admission


21


15

Other (please specify in description)


12

Patient/Client/Service User Information (records, docs, test results)

10

12

4

6

7

5

5

6

4

5

12

7

7

90

Pressure Ulcer

  • developed during care

  • deteriorated in care

  • Present before admission

12

8

9

11

10

8

6

9

9

11

13

15

121

 

49

11

18

20

24

18

9

17

18

24

16

29

22

15

241

Security/Damage to property/Fire/Theft


44

Smoke free breach


10

Treatment, Procedure

4

17

15

11

10

6

8

13

11

14

13

121


B.

There were no incidents that resulted in the death of a patient within the given timeframe.

C.

The feedback management system does not classify complaints by whether or not a patient's life was put at risk. Each complaint would need to be manually reviewed and a subjective decision made on the incident the complaint relates to in order to answer this question. This process would exceed the 12.5 hour limit prescribed by Article 16 of the Freedom of Information (Jersey) Law 2011.

Article applied

Article 16 - A scheduled public authority may refuse to supply information if cost excessive

(1) A scheduled public authority that has been requested to supply information may refuse to supply the information if it estimates that the cost of doing so would exceed an amount determined in the manner prescribed by Regulations.

 

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