Learning from failure: the need for independent safety investigation in healthcare
- PMID: 25359875
- PMCID: PMC4224654
- DOI: 10.1177/0141076814555939
Learning from failure: the need for independent safety investigation in healthcare
Comment in
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The demise of gatekeeping in primary care.J R Soc Med. 2014 Nov;107(11):427. doi: 10.1177/0141076814557606. J R Soc Med. 2014. PMID: 25377733 Free PMC article. No abstract available.
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Independent safety investigation.J R Soc Med. 2015 Apr;108(4):122. doi: 10.1177/0141076815569152. J R Soc Med. 2015. PMID: 25899021 Free PMC article. No abstract available.
References
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- Department of Health. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer, London: Department of Health, 2000.
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- National Advisory Group on the Safety of Patients in England. A Promise to Learn – A Commitment to Act, London: Department of Health, 2013.
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- Toft B. External Inquiry into the Adverse Incident that Occurred at Queen's Medical Centre, Nottingham, 4th January 2001, London: Department of Health, 2001.
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- Healthcare Commission. Investigation into Mid Staffordshire NHS Foundation Trust, London: Healthcare Commission, 2009.
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- Francis R. Independent Inquiry into Care Provided by Mid Staffordshire NHS Foundation Trust January 2005–March 2009, London: The Stationery Office, 2010.
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