Significant Event Analysis (SEA) and/or Serious unwanted towards incidence
structured reflective template
Name of person filling in form
SEA Title:
Date of incident:
Description of event
What went well
What could have been done better?
What changes have been agreed?
Final outcome after discussion:
Please send report to
Dr Nizamuddin (anizamuddin@nhs.net)
Or
Dr Lakhani (mehul.lakhani@nhs.net )