Patient Safety

5th May 2004 : Patient Safety Incidents - Electronic web-based reporting form
The NPSA will roll out its National Reporting and Learning System (NRLS) across the NHS during 2004. In the future NHS staff anywhere in England and Wales will be able to report patient safety incidents, including prevented patient safety incidents (known as near misses), that they are involved in or witness. Information provided to the NPSA will be stored anonymously and analysed to identify national patterns, to identify patient safety priorities and to develop practical solutions. We have also developed an electronic web-based reporting form as an interim measure for those organisations that have yet to establish an LRMS, and we are exploring technical solutions that will enable data capture for local use through this form.
http://www.npsa.nhs.uk/dataset/dataset.asp

5th May 2004 : Patient safety incident Root Cause Analysis e-learning programme
Learning from experience is critical to NHS organisations and their staff in delivering a safe and effective service to patients and clients. The National Patient Safety Agency (NPSA) is committed to finding ways to help healthcare organisations understand the underlying causes of patient safety incidents and to formulate plans for improving safety. Root cause analysis (RCA), is a retrospective review of a patient safety incident undertaken in order to identify what happened, how, and why it happened. The Root Cause Analysis e-learning programme is a modular online training programme with support materials available to download and use. The programme has been designed to help busy NHS staff whose training must adapt to fit hectic schedules.
http://www.npsa.nhs.uk/rca/default.asp#toolkit