The challenges in monitoring and preventing patient safety incidents for people with intellectual disabilities in NHS acute hospitals: evidence from a mixed-methods study

October 29, 2014

Source:  BMC Health Services Research 14 pp. 432

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Date of publication:  September 2014

Publication type:  Journal article

In a nutshell: There is evidence that people with intellectual disabilities in acute hospitals are at risk of preventable deterioration due to the reasonable adjustments that they need not being implemented. This article aimed to explore the challenges in monitoring and preventing patient safety incidents involving people with intellectual disabilities. It describes the patient safety issues that patients with intellectual disabilities in NHS acute hospitals encounter and investigates underlying contributory factors. The events leading to avoidable harm for patients with intellectual disabilities are not always recognised as safety incidents.

Length of Publication:  1 web page


Latest patient data shows improvement in reporting

April 26, 2013

Source:  NHS England

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Date of publication:  March 2013

Publication type:  Press release

In a nutshell:  NHS England has released the National Reporting and Learning System (NRLS) Organisation Patient Safety Reports. The reports show progress in the reporting of patient safety incidents from April to September 2012.

Length of Publication:  1 web page


Learning from mistakes

June 28, 2011

Source: Nursing Standard  Volume 25, Issue 34 p18

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Date of publication: April 2011

Publication type: Journal article

In a nutshell: The article describes what a never event is, and why the Department of Health expanded the list from 8 to 25 in February 2011.  The main focus of the list is on acute.

Length of publication: 1 page

Some important notes: This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library

Acknowledgement: HMIC