The National Patient Safety Agency was set up after two reports concluded that the NHS needed to learn from and prevent patient safety incidents. Data suggest that, of the patients that have suffered patient safety incidents, half could have been prevented. A case study is included which outlines what went wrong with a patient's care, and what recommendations have been made to avoid such occurrences in the future.
Williams, S. and Osborn, S. (2004), "National Patient Safety Agency: an introduction", Clinical Governance: An International Journal, Vol. 9 No. 2, pp. 130-131. https://doi.org/10.1108/14777270410536411
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