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A safer place for patients: learning to improve patient safety

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Figure

Figure 4 shows the ratings for acute and mental health trusts for 2004-05 as compared with 2003-04 (a specific ambulance assessment was introduced in 2004-05 and so comparatives have not been included) and Appendix 7 gives details of the assessment criteria.

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Outline

The total number of incidents reported has risen year on year The national reporting scheme was rolled out two years later than originally planned The Department focused on improving levels of reporting and learning but evidence on cost-effectiveness of the interventions Trust-wide application of lessons and embedding of learning is patchy Safety alerts can be an effective way of ensuring solutions are implemented, but There are opportunities to improve learning at regional and national level Developments in information technology should help improve patient safety International comparisons of organisational learning for patient safety Components of a safety culture have been defined as: n Commitment to safety articulated at the highest level

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