By name: dcb0129-hazard-log description: 'Use when generating a clinical safety hazard log, clinical risk matrix, or DCB0129 Clinical Safety Case Report for an NHS digital health service.'
DCB0129 Hazard Log — Clinical Safety
This skill generates clinical safety documentation following the DCB0129 standard for NHS digital health services, using the SIREN methodology for hazard identification.
When to Use
- Creating a new hazard log for an NHS Alpha service
- Adding hazards identified during development or testing
- Producing a Clinical Safety Case Report for assessment
- Reviewing code changes that affect clinical data or patient-facing features
Hazard Identification — SIREN Categories
Identify hazards across these categories:
| Category | Examples |
|---|---|
| System | System unavailability, data loss, incorrect data display |
| Information | Wrong patient data shown, stale clinical data, missing alerts |
| Risk | Misidentification of patients, delayed referrals, incorrect dosage display |
| Error | User input errors not caught, misleading UI, ambiguous clinical terms |
| New | Hazards introduced by new technology, integration points, workarounds |
Clinical Risk Matrix
| Severity ↓ / Likelihood → | Very Low | Low | Medium | High | Very High |
|---|---|---|---|---|---|
| Catastrophic (death) | 3 | 4 | 5 | 5 | 5 |
| Major (permanent harm) | 2 | 3 | 4 | 5 | 5 |
| Considerable (semi-permanent) | 2 | 3 | 3 | 4 | 5 |
| Significant (short-term harm) | 1 | 2 | 3 | 3 | 4 |
| Minor (inconvenience) | 1 | 1 | 2 | 2 | 3 |
Risk levels: 1 = Acceptable, 2 = Acceptable with monitoring, 3 = Undesirable — needs mitigation, 4 = Mandatory mitigation, 5 = Unacceptable — must eliminate
Output
The agent must create new files:
- Hazard log:
docs/clinical-safety/hazard-log.md - Clinical Safety Case Report:
docs/clinical-safety/safety-case-report.md
Use the structure described above as guidance. Do not edit this skill file — it is a reference, not a template to fill in.