» Triggers to risk incidents;
» Intent;
» Protective factors; and
» Rationale for rating the risk, based on
the above and gut feelings.Discussion centres around the risk assessment and care plan that has been devised for a patient who is currently on the ward and the patient is invited to attend if possible. The presenter outlines actions that are
being taken by the team to minimise risk along with a rationale for these. The impact of all interventions and actions are considered, and reflections on alternatives and possibilities are encouraged.Following this, documentation is examined to determine whether the full process and decision making has been captured accurately and with sufficient detail. Any gaps in documentation are updated as these are live documents for people on the ward; alternative interventions are incorporated. The patient and carer(s) are also invited to comment on the findings from the peer review.As mentioned earlier, in practice the peer review can be undertaken within supervision or as part of a larger multidisciplinary team discussion. We have also had feedback that staff have used the process in handover when struggling with differences in opinions about level of risk and observations of a particular patient. The process wehave developed aims to embrace the expertise of our peers, and to be a practical approach to building staff skill,