Expected outputs at this stage of the clinical safety process which will be reflected in the risk management file.
Updated hazard log
Whilst the hazard log is a living document and continues to be updated during the lifecycle of the health IT system, a base-lined version is to be issued with each clinical safety case report.
Each version of the hazard log has to be reviewed and approved by the clinical safety officer to signify that the clinical safety information recorded is accurate and appropriate.
Safety case report
The clinical safety case report is the physical document that summarises all the key elements of the clinical safety case and references all supporting material in a clear, comprehensible and concise format. It serves to communicate the clinical safety case to the end users and top management but also where appropriate to other bodies such as regulators.
As the underlying clinical safety case continues to evolve during the health IT system lifecycle, then there is a need to issue clinical safety case reports in support of key milestones. The issuing of clinical safety case reports will be dictated by the health IT system development lifecycle being followed as defined in the clinical risk management plan.
A safety case report needs to be produced for the first release of software. Any subsequent release should be accompanied by an updated version of the safety case report to reflect:
- evidence of test results for the release
- evidence of a test report for the release
- an updated hazard log reflecting the risk assessment completed for the release, if there are no system related risks identified then this needs to be documented
- a summary of the risk ratings identified through the risk assessment process for the release represented by a table detailing the risk rating and the relevant modules risk assessed
- detailed information regarding those risks with a rating of 3 or higher and the additional controls and actions recorded
It may be the case that any release does not have any safety related incidents or issues that have been identified. Therefore an issued statement to this affect is satisfactory.