Eighteen years after the advent of the National Patient Safety Agency (NPSA) why is investigating in such a parlous state? Ed Marsden, Managing Director of independent investigative consultants Verita, discusses why making improvements to patient safety comes second place to sorting out problems with the investigative process.
In this article, Ed discusses three main areas for improvement:
- developing a consistent way of investigating
- aggregating data
- improving insights and information.
Having been involved in hundreds of investigations, he offers his thoughts on how we can address current issues with investigation practices in order to make long lasting and widespread improvements in patient safety.