Patient Safety: Round table on Reporting systems in Health Care

January 28, 2011

Source: World Health Organisation Regional Office for Europe

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Date of publication: December 2010

Publication type: Report

In a nutshell: Representatives from the Czech Republic, Slovakia and Slovenia, along with international experts, met and identified common challenges and agreed a set of recommendations to improve patient safety and reporting systems. A follow up meeting, to report progress, will take place after one year.

Length of publication: 25 pages

Acknowledgement: NHS Evidence


A model for developing high-reliability teams.

December 22, 2010

Source: Anaesthesia  Vol 65 Iss 11 p1106-1113

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Date of publication: November 2010

Publication type: Journal article

In a nutshell: This article looks at the instances where misuse of an anaesthetic has casued adverse effects.  It also looks at providing recommendations on how to improve this.  The incidences were taken from the National Reporting and Learning System in England and Wales between 2006 and 2008.

Length of publication: 7 pages

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

Acknowledgement: EMBASE


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.


Use of Patient Safety Culture – instruments and recommendations

June 9, 2010

Source:  European Union Network for Patient Safety

For full report click here

Date of publication:  March 2010

Publication type:  Report

In a nutshell:  A report into the culture of patient safety through a survey carried out by EU member states.

Length of publication:  35 pages


Organisation Patient Safety Incident Reports March 2010

June 9, 2010

Source: National Reporting and Learning Service

Follow link to access reports

Date of publication:  March 2010

Publication type:  Report

In a nutshell:  Access patient safety incident reports for individual NHS organisations in England and Wales.

Length of publication:  1 web page

Achnowledgements:  National Patient Safety Agency


What every healthcare board needs to understand about patient safety

June 9, 2010

Source: A report from the Good Governance Institute by Andrew Corbett-Nolan and Jonathan Hazan

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Date of publication:  February 2010

Publication type:  Report

In a nutshell: This report considers many issues that contribute to improving the governance of healthcare organisations.

Length of publication:  20 pages

Published by:  Good Governance Institute