Abstract

Nurses as key members of the healthcare team need to know about the National Reporting and Learning System (NRLS) of the National Patient Safety Agency (NPSA) and its analysis of reported patient safety incidents. Nobody wants adverse patient safety incidents to occur and when they do we need to learn the lessons to stop them or at least to minimize the likelihood of them occurring again, so far as we reasonably can. To get to know where you are going you have got to know where you have been. The NPSA report (NPSA, 2006) tells us exactly this in the context of patient safety incidents in the NHS – the summary provides an update on incidents reported to the NRLS from all sectors of the NHS. A pattern of incident types and severity is shown

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