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Safety improvements that have come from incident reporting

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A recent review from Healthcare Inspectorate Wales highlighted that staff lacked confidence in the reporting system, dubious that action or positive change would happen as a consequence. Designed to identify risk, learn from experience and prevent future harm, incident reporting plays an important role in keeping patients safe. 
 
We are looking for positive examples where staff have reported a safety incident which has led to action, change or learning and improved patient safety. 
 
Do you have an example to share? 
 
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