NPSA publishes latest organisational incident reports…..but still no learning

The National Patient Safety Agency (NPSA) has published ‘Organisational Patient Safety Incident Reports’ for NHS organisations across England and Wales. The reports summarise incidents reported by staff that have occurred between October 2008 and March 2009, and reported to the NPSA by 30 June 2009.

The figures show that across England, 92.5 per cent of all patient safety incidents result in low or no harm to the patient, 6.2 per cent of incidents are reported as moderate harm to patients, 0.8 per cent as severe harm to patients and 0.4 per cent as contributing to patient death.

The most commonly reported incident type overall is patient accident (32.8 per cent of reports), followed by treatment/procedure (10.1 per cent) and medication (9.4 per cent).

However, as the NPSA continues to fail to collect information on contributory factors and root causes, a principal reason for its establishment back in 2001, the potential for learning from the NPSA reports is limited (see Government response to the Health Select Committee Patient Safety Report here.).

Incident reports by organisation can be downloaded here.

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