Safe healthcare depends on factors spanning the entire healthcare system. We know that adverse events will occur and the reasons are seldom simple. Improving patient safety and learning depends on investigating, understanding, and addressing the complex networks of causal factors at all levels. Norway and England have established national independent investigation bodies to support learning and system improvement. The talk looks into the rationale, expectations and practice in this new area in healthcare.
Registered address:
Patient Safety Learning, China Works SB203, 100 Black Prince Road Vauxhall, London, SE1 7SJ
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