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Clinical safety
Six sections on the clinical safety side of adopting a digital tool. If you're new to this, start with Understand. For the whole journey, including data protection, see adopting a tool.
- 1UnderstandWhat clinical safety is, who does what, and how risk is scored.
- 2The processFive stages, from first look to keeping it safe.
- 3Worked examplesAn online consultation tool in full, plus an AI scribe and a built-in calculator.
- 4TemplatesDocuments to read, download and adapt.
- 5After go-liveIncident logs, monitoring and when to reassess.
- 6HelpFinding a CSO, training and common questions.
The clinical safety process at a glance
Stage 1 of 5
Prepare
- Add the tool to your technology register
- Get the supplier’s clinical safety documents (DCB0129)
- Agree who is acting as your Clinical Safety Officer (CSO)
Stage 2 of 5
Assess
- Hold a hazard workshop with the staff who will use the tool
- Write the hazard log: each cause, effect, hazard and harm, with controls and mitigations
- Score each hazard before and after controls
Stage 3 of 5
Approve
- The CSO writes and signs a short clinical safety case report (CSCR)
- The partners review the residual risk, and accept it or decline to go live with the tool
Stage 4 of 5
Go live
- Train everyone who will use it, and record who was trained
- Start small if possible, and check early outcomes closely for incidents and recurring themes
Stage 5 of 5
Monitor and review
- Log incidents and near misses, and review the hazard log when incidents happen and periodically
- Reassess when the supplier changes the product, or if you start to use it differently in your workflow
- Switch the tool off safely when the time comes