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Improving NHS investigation of patient safety incidents

preprint
posted on 04.01.2019 by Peter McCulloch, Helen Higham, Lauren Morgan, Dawn Benson
We 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

None

Corresponding author email

peter.mcculloch@nds.ox.ac.uk

Lead author country

United Kingdom

Lead author job role

Higher Education Researcher

Lead author institution

University of Oxford

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