References

BBC News. Cumberland Infirmary eye removal operation was ‘avoidable’. 2019. http://tinyurl.com/y6hlhuqs (accessed 11 April 2019)

Care Quality Commission. Opening the door to change: NHS safety culture and the need for transformation. 2018. http://tinyurl.com/y5e8o69v (accessed 11 April 2019)

Man accidentally circumcised in hospital mix-up. 2019. http://tinyurl.com/yyp5vlak (accessed 12 April 2019)

NHS Improvement. Provisional publication of Never Events reported as occurring between 1 April 2018 and 28 February 2019. 2019a. http://tinyurl.com/yxvxsq4o (accessed 12 April 2019)

NHS Improvement. NRLS national patient safety incident reports: commentary. 2019b. http://tinyurl.com/y4lk87h4 (accessed 12 April 2019)

50 years of NHS inquiries: why they matter and what we can learn from them. University of Birmingham Health Services Management Centre. 2019. http://tinyurl.com/y5lm7enl (accessed 12 April 2019)

Reviewing and responding to patient safety incidents in the NHS

25 April 2019
Volume 28 · Issue 8

Abstract

John Tingle discusses several recent reports on patient safety incidents in the NHS and the urgent need for action to deal with the problems identified

Patient safety incidents have been reported in the media over many years. The banner headlines describe the shocking events and a similar story unfolds soon afterwards. The frequency with which this happens has caused me to reflect on the risk that we could become desensitised and all too accustomed to such incidents occurring.

For the NHS, this could result in patient safety slipping in terms of policy development priority, with incidents ceasing to have the powerful effect they have today. NHS staff could start to switch off as they struggle to cope with increasing workloads. For the public, fatigue with the news could set in. Yet another NHS patient safety incident is reported: initial shock, shortly followed by another incident, with nothing seemingly changing to stop it happening. They could also lose confidence in the NHS. There is an urgent need to develop an ingrained patient safety culture in the NHS and reduce the level of incidents occurring.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content