Dealing with a serious incident requiring investigation in obstetrics and gynaecology: a training perspective

Authors

  • Madeleine Macdonald MRCOG,

    Corresponding author
    1. Specialty Training Registrar Obstetrics and Gynaecology Year 6, Jessop Hospital Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
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  • Radhika Gosakan MRCOG,

    1. Consultant Obstetrician and Gynaecologist/College Tutor, Rotherham NHS Foundation Trust, Rotherham, UK
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  • Alison E Cooper FRCA,

    1. Consultant Anaesthetist, Director Postgraduate Medical Education, Rotherham NHS Foundation Trust, Rotherham, UK
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  • Diana J Fothergill FRCOG

    1. Consultant Obstetrician and Gynaecologist/Head of Obstetrics and Gynaecology School, Yorkshire and the Humber Deanery, Jessop Hospital Wing, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
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Abstract

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.

Ancillary