After the abolition of the National Patient Safety Agency

December 22, 2010

Source: British Medical Journal

Follow this link to an extract

Date of publication: 3 November 2010

Publication type: Editorial

In a nutshell: Abolishing the NPSA may include the NHS Reporting and Learning system, the national database of reported patient safety incidents. The database highlights areas of concern and provides evidence around the number and severity of incidents on a national scale.

Length of publication: Webpage

Some important notes: Please contact your local NHS Library for the full text of the article.  Follow this link to find your local NHS Library.


Signals: emerging issues from national review of serious patient safety incidents

November 28, 2010

Source:  National Reporting and Learning Service, NPSA

Follow this link for report

Date of publication:  October 2010

Publicaton type:  Report

In a nutshell:  Key risks have been identified from a review by the Patient Safety division of the NPSA into serious incidents which have been reported to the NHS.  These issues are in the form of Signals.  10 new ones have been published including ‘Wrong site nerve block’; ‘Non-invasive ventilation’ and ‘Overdose of intravenous paracetamol in infants and children’.

Length of publication:  Webpage

Acknowledgements:  National Patient Safety Agency


Using adverse events in health-care quality improvement: results from a British acute hospital

August 28, 2010

Source: International Journal of Health Care Quality Assurance Vol 8 Iss 1 pp7-14

Click here to access abstract

Date of publication: August 2010

Publication type: Article

In a nutshell: This article looks at the results of the Ophthalmology department of a British acute hospital in adverse event monitoring as a problem-oriented approach during clinical audits.  The results focus on whether there are significant improvements in patient care due to the new approach.

Length of publication: 7 pages

Some important notes:  Please contact your local NHS Library for the full text of the article.  Follow this link to find your local NHS Library.


Updated guide places junior doctors at centre of strong safety culture

July 22, 2010

Source:  National Patient Safety Association 

Click here to access guide

Date of publication: July 2010 

Publication type:  Guidance

In a nutshell:  This document focuses on the importance of training junior doctors to deal with medical errors,  including dealing with complaints, communicating with patients and staff, reporting and documentation.

Length of publication:  Webpage