Incident investigations- resulting in staff disciplinary/ blame

[Rashmi]

Hi Chris ,
Disciplinary matters may not be in the remit of the MHRA, but there is probably a causal link -with encouraging high reporting of events ( part of continuous improvement) to people who don’t understand RCA/ Human Factors and the correct way to carry out investigations- it may just be misinterpretation of the regs, ignorance, or fear of the MHRA that is causing sites to take these actions. “The MHRA would expect us to do this!!! ...” or "the inspector looked at me during the inspection as if to say you need to investigate this staff member!!!"
Things to consider.

Also, culture is the main issue- how many times do I hear colleagues refer to staff as “culprits” when an error (usually very minor) is made, they need to be referred to probably as the victim of a poor system. This lack of respect for dedicated and hardworking people ( lab, nurses, porters, etc) who have other pressures in their roles is unacceptable and has to change!

Anna, good idea about the training- could be a short session at the TADG/ TP meetings on reviewing some cases?

As mentioned many times:
We all come to work intending to do a good job and it is mainly faulty systems and processes that let us down. Fix the systems.