• human factors;
  • incident;
  • investigation;
  • serious;
  • untoward

Key content

  • A serious incident requiring investigation (SIRI), previously known as a serious untoward incident (SUI), is often an unexpected and a traumatic event for all those involved: the patient, their family and friends and healthcare professionals.
  • Most NHS hospitals have well-developed pathways and processes for dealing with these incidents.
  • Revalidation takes SIRIs into account.
  • This article reviews literature, guidance, best practice recommendations and dealing with the aftermath of a SIRI and discusses how these could be applied to obstetrics and gynaecology training at a trust, deanery and national level.

Learning objectives

  • To understand the meaning of a SIRI.
  • For trainees and trainers to be aware of what to do in the event of a SIRI and the structure of the support available within the workplace.

Ethical issues

  • The challenge of giving constructive criticism to a colleague, trainee or consultant without discouraging or undermining them.
  • Understanding when performance at work may be affected by an incident at work and how this may impact on patient safety.