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71:"no-blame culture" to encourage staff to report incidents without fear of personal reprimand and know that by sharing their experiences others will be able to learn lessons and improve patient safety. Where a trend emerges relating to incidents then it issued reports, recommendations and guidance to avoid repetition.
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As well as making sure that incidents are reported in the first place, the NPSA aimed "to promote an open and fair culture in hospitals and across the health service, encouraging doctors and other staff to report incidents and 'near misses'." In various publications it encouraged the creation of a
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The NPSA developed a
National Reporting and Learning System (NRLS) to collect and analyse information from staff and patients, as well as incorporating information from other sources. From 2005 it was possible for staff to submit information through web-based forms, although the roll out of the
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that aims to help in resolving concerns about the performance of individual doctors and dentists. Finally, it also managed the contracts with the three confidential enquiries:
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From 1 April 2019, NHS England and NHS Improvement are working together as a new single organisation to better support the NHS to deliver improved care for patients.
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Special Health
Authority., later known as NHS England. In April 2016, the patient safety function was transferred from NHS England to the newly established
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36:. It was established in 2001 to monitor patient safety incidents, including medication and prescribing error reporting, in the NHS.
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Since 1 April 2005 it had also overseen safety aspects of hospital design and cleanliness, as well as food (transferred from
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National
Confidential Inquiry into Suicide and Homicide by People with Mental Illness
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The last chief executive of the NPSA was Martin
Fletcher. The chair was
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On 1 June 2012, the key functions of the NPSA were transferred to the
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European
Directorate for the Quality of Medicines & HealthCare
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Federation of Pharmaceutical Industries and Associations
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184:"A Safer Place for Patients: Learning to improve patient safety"
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Pharmaceutical and biotechnology industry in the United
Kingdom
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European and
Developing Countries Clinical Trials Partnership
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National
Confidential Enquiry into Patient Outcome and Death
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system took two years longer than originally envisaged.
164:. National Clinical Assessment Service. 19 April 2012
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National
Institute for Health and Clinical Excellence
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Medicines and Healthcare products Regulatory Agency
189:. National Audit Office. 3 November 2005. p. 5
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Confidential Enquiry into Maternal Deaths in the UK
47:(COREC). Between 2005 and April 2012 it hosted the
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63:. This responsibility was transferred from the
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211:. National Patient Safety Agency. 31 May 2012
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114:"About the Patient Safety division"
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261:. Retrieved
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100:References
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725:Bandolier
467:Pfizer UK
395:MedImmune
360:Companies
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32:(NHS) in
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407:Cyclacel
241:16 March
140:BBC News
24:) was a
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368:Current
34:England
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442:IXICO
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187:(PDF)
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