An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the Nhs
Author(s)
Chief Medical Officer of Health, Department Of Health
Chief Medical Officer of Health, Department Of Health
The Introduction Of Clinical Governance Gives National Health Service Organisations A Powerful Incentive To Focus On Serious Failures In Health Care. This Report Reviews What Is Known About The Scale And Nature Of These Failures, Examining The Extent To Which The Nhs Has The Capacity To Learn From Them When They Do Occur, And Recommending Measures Which Could Help To Minimise The Likelihood Of Repeated Failures In Service In The Future. Information Was Drawn From Industry, Aviation And Academic Research.
Keywords
National health services
National health services
| Name in long format: | An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the Nhs |
|---|---|
| ISBN-10: | 0113224419 |
| ISBN-13: | 9780113224418 |
| Book pages: | 92 |
| Book language: | en |
| Edition: | Illustrated |
| Binding: | Paperback |
| Publisher: | Stationery Office Books (TSO) |
