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The National Incident Management System (NIMS) is an end to end incident management tool developed to improve patient and service user safety. The system also supports reviews into incidents, the monitoring of recommendations and records complaints, with more than 210,000 incidents reported annually.
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This Guide is a tool for services to allow them to understand and replicate at local level the procedures employed by the National Quality and Patient Safety Directorate (NQPSD) in calculating a range of reports relevant for NIMS assurance and data quality purposes, including but not limited to the three KPIs selected for inclusion in the 2023 HSE National Service Plan under Service wide indicators. This Guide only focuses on measurement from a data and technical perspective, use of measurements and improvement initiatives are outside the scope for this Guide.
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If you need to add or amend a location on behalf of your organisation or service then please use the Location Change Form (Word doc, 145 KB, 2 pages)
The HSE NIMS team welcome feedback on incident reporting on the NIMS system, be it positive or negative. We continually strive to improve your experience as a user and your suggestions for improvement are welcome. Please contact NIMS@hse.ie . We aim to get back to you within 48 hours of you contacting us. If you feel that you have reason to complain about your experience, NIMS, the use of data, or otherwise about the applications of NIMS in the HSE then please do not hesitate to submit a complaint to NIMS@hse.ie directly or the Quality and Patient Safety Incident Management email QPSIM@hse.ie.
The National Incident Management System (NIMS) is the key platform for HSE and HSE-funded healthcare providers to report incidents on. Additionally, the NIMS system is the source of data in terms of incident management as a quality indicator and is also used to inform the National Service Plan KPIs. To help HSE and HSE-funded healthcare providers understand and to improve data quality we have written the Guide included below, which outlines how the data is pulled from NIMS at national level. It will allow services to apply the same methodology and ensure consistency when the data is pulled at local level for data validation and monitoring purposes.
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The HSE Incident Management (System) Governance Committee was established as the primary HSE governance committee overseeing the delivery of strategic objectives set out in the HSE Patient Safety Strategy and the Workplace Health and Wellbeing Unit Strategy as they relate to incident management. The strategic objectives stem from them both and have been further developed to focus in particular on the role of incident reporting and the system that holds the data. It is targeted at improving incident management processes as they relate to the systems used in the HSE, predominantly the National Incident Management System (NIMS).
HSE staff wishing to attend can contact nims@hse.ie and the State Claims Agency will notify attendees directly thereafter.
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Each NIMS user can see their allocated locations and what access they have in terms of locations in their account. If you want to see the entire location list available on NIMS, please access the Discovery Zone Hub in the HSELand. A short demo video is also published in the Discovery Hub to support you in understanding and using the full list.
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Please do not hesitate to contact the HSE NIMS team at NIMS@hse.ie for any ad hoc training requests or support required.
The HSE Incident Management team are responsible for the governance, management and oversight of the incident management system for the HSE.
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Please contact NIMS helpdesk at NIMS@hse.ie with any queries in relation to incident reporting, management, analysis, support, improvement suggestions, etc.
Incident management systems are mainly intended to facilitate reporting and support staff in managing the incident management process.
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To date, HSE and HSE funded services across Ireland have relied on either a paper based reporting system or secondary software to capture incident data before manually inputting them onto NIMS.
Monday to Friday: 8am to 8pm Saturday: 9am to 5pm Sunday: Closed Bank holidays: Closed
The primary purpose of incident and near-miss reporting is for the purpose of learning from such events, prevention, transparency, risk identification and mitigation, regulatory requirements and policy.
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This advanced course is offered to users who require the necessary skills to access, review and identify trends for their area(s) of responsibility.
The below voiding SOP is relevant for sites who have rolled out ePOE and advises the limited scenarios when an incident may be voided by a line manager. It also describes how duplicate reported incidents should be managed on the system.
The significant benefit of the national platform is that there is the opportunity for wider system learning. What might seem like a once off event within your service might be happening on a wider scale. Electronic point of entry reporting is where frontline staff enter incidents directly onto the National Incident Management System eliminating the need for paper reporting.
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HIQA Information management standards for national health and social care data collections 2017 describes the benefits of quality data include:
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Quality data and information refers to data and information that are relevant, accurate and reliable, timely and punctual, coherent and comparable, and accessible and clear.
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It will act as a stakeholder forum (e.g. operational leads) from across the HSE including end user representatives to ensure a strategic and integrated organisational approach is taken on the creation and delivery of the HSE incident management strategic programme in line with the HSE Patient Safety Strategy. A subset of members of this committee will act as representatives of HSE IM on both the HSE NIMS Modules Joint Governance Committee and the Joint NIMS Governance Committee. The latter being a joint committee with the SCA that focuses on technical development and priorities.
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*Places for the NIMS reports, views and dashboard training are limited and will be allocated on a first come first served basis. To ensure that the right staff are targeted for the training, only those who are active users of the system may attend.
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It is recommended that all users of the NIMS system avail of training. There are currently two modules available on the HSELand website:
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The collective incident data further supports learning and improvement, assists in analysis and decision making, shifts the organisation from silo thinking to a system-thinking approach.
NIMS has the functionality to perform as an end-to-end incident management tool that will allow services to manage incidents through the incident lifecycle on a single platform to improve the quality and safety of care provided.