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Jerome P

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  1. Content Article
    Jerome, a patient safety manager, discusses the impact the pandemic is having on patient referrals and waiting lists, and the subsequent increases in serious incidents and never events that will arise. With an already overstretched and exhausted workforce, how will these be investigated, how will this be managed? Jerome urges NHS England to give guidance.
  2. Content Article Comment
    Hi @Jon Holt Ive been saying that actions don't reflect the true root causes for a while. This is an elephant in the room. Im hoping the new framework will help. But the old world usually bites back, and usually twice as hard. What is the solution?
  3. Content Article Comment
    I completely agree with you @Katrina. More often than not, post RCA, there are numerous actions but little assurance that they are being completed in a timely manner. Readdressing the balance is so important. The Patient safety managers voices are so very small - we all know its not right...so why are we not kicking up a fuss?
  4. Content Article
    This short blog from Jerome, a patient safety manager, gives a brief description of root cause analysis and asks why the NHS spends so much time generating root cause analysis reports rather than focussing on what changes should happen afterwards to current systems and processes.
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