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Serious Incident & Patient Safety

Independent clinical investigation focused on understanding what happened – and preventing it from happening again.
SUMMARY

Find the learning behind the incident

Serious incidents require more than a reconstruction of events. Athena brings independent clinical expertise to investigations and reviews, examining care, decision-making and the systems surrounding an incident to identify why it happened and where meaningful improvement is needed.

This service is ideal for:
Medical Directors
Patient Safety Leads
Governance Teams
Healthcare Providers
Boards & Senior Leaders
Summary
format
On-site and Remote
Services
  • Independent serious incident investigation
  • Clinical case and mortality review
  • Investigation quality assurance
Contact us
Contact us
OUR PROCESS

How it works

A clear, consistent approach to every engagement
Arrange a confidential discussion
Arrange a confidential discussion
Process

1. Establish the scope

We clarify the incident or concern, immediate risks, available evidence and the questions the investigation or review needs to answer.

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2. Establish what happened

We review clinical records, policies, incident documentation and other relevant evidence, undertaking interviews where appropriate to build a clear account of events.

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3. Analyse why it happened

We examine clinical decision-making, systems, communication, staffing, governance and organisational factors to identify contributory factors and wider patient-safety issues.

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4. Turn findings into learning

We provide clear findings and proportionate recommendations, helping organisations translate investigation outcomes into meaningful patient-safety and governance improvement.

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when to use

When to use this service

This is ideal for scenarios such as:
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Following a death or serious patient safety incident
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When an investigation requires independent clinical leadership
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When the quality or conclusions of an existing investigation need review
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When similar incidents suggest a recurring organisational problem
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When senior leaders need independent assurance about what happened
deliverables
Clinical Case Review
Detailed independent assessment of care, clinical decision-making and relevant standards.
Recommendations & Learning
Focused, proportionate recommendations linked directly to the factors identified during review.
Executive & Board Briefing
Clear presentation of findings, risks and organisational implications for senior decision-makers.
Independent Investigation Report
Evidence-based investigation setting out chronology, analysis, findings and conclusions.
SECTOR EXPERTISE

Explore how Athena supports organisations commissioning, delivering and supporting healthcare in prisons and secure settings.

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Prison & Secure Healthcare
Prison & Secure Healthcare

Let’s discuss your organisation

Whether you’re preparing for inspection, reviewing governance arrangements, responding to a serious incident or looking for ongoing independent clinical support, we’d be pleased to arrange a confidential, no obligation discussion about how Athena may be able to help.
Arrange a confidential discussion
Arrange a confidential discussion
About Us
About Us
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