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Improving NHS investigation of patient safety incidents
preprint
posted on 2019-01-04, 17:23 authored by Peter McCullochPeter McCulloch, Helen Higham, Lauren Morgan, Dawn BensonWe discuss the deficiencies of current NHS patient safety investigation and specifically the need for independence and Human Factors training. We describe the theory behind a regional network approach to improving the quality of investigations, and the development of a pilot study. We report outcomes from the first three investigations and the learning gained from the experience of conducting the pilot study. We make recommendations for how this type of solution to the problem of adequate investigation could be further developed
Funding
Health Education England funding for Patient Safety Academy
History
Declaration of conflicts of interest
NoneCorresponding author email
peter.mcculloch@nds.ox.ac.ukLead author country
- United Kingdom
Lead author job role
- Higher Education Researcher
Lead author institution
University of OxfordComments
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