Management of adverse events review report
Reviewing NHS boards’ governance arrangements and processes for
managing adverse events helps us to identify whether appropriate
learning and improvement is taking place to reduce the risk of
events happening again.
Our reviews focus on the six key
recommendations (18–23) for NHS boards from the NHS Ayrshire &
Arran report (2012) to provide assurance that NHS boards are
effectively managing adverse events. We measure NHS boards against
the recommendations within the NHS Ayrshire & Arran report and
against their own policies.
Our review of NHS Lothian's governance
arrangements and processes for managing adverse events
- an analysis of evidence provided by the NHS board, and
- a visit to NHS Lothian on Thursday 13 June 2013
This report highlights areas of strengths as well as areas for
further improvement, including recommendations for actions.
Published Date: 12 August 2013