Summary
This report focuses on why avoidable harm remains a persistent problem within healthcare.
Content
Never Events continue to happen despite the hard work and efforts of front line staff. Findings in this report have led to the conclusion that this continual recurrence means that if healthcare staff are to give patient safety the priority it requires, the culture of the NHS needs to change. to one that is orientated around safety
Care Quality Commission - Opening the door to change NHS safety culture and the need for transformation
https://www.cqc.org.uk/sites/default/files/20181224_openingthedoor_report.pdf
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