Management of adverse events review reports
Following a detailed
review of NHS Ayrshire & Arran’s adverse event management in
the spring of 2012, the Cabinet Secretary for Health, Wellbeing
and Cities Strategy instructed Healthcare Improvement Scotland to
conduct a rolling programme of reviews across NHS boards
starting in autumn 2012.
The reviews are aimed at: supporting health boards improve
services by learning from adverse events; reducing the risk of
these events happening again and providing public assurance that
NHS boards are effectively managing adverse events.
Our reviews focus on the six key recommendations for NHS boards
(numbers 18–23) from the NHS Ayrshire & Arran report.
Review reports of our findings for each
NHS board will be available below, as is a learning and
improvement report which identifies learning points from the first
four reviews that are applicable across NHSScotland for
managing adverse events.
Learning and Improvement Report
National Waiting Times Centre
NHS Ayrshire and Arran
NHS Dumfries & Galloway
NHS Forth Valley
NHS Greater Glasgow and Clyde
State Hospital board
NHS Western Isles
Scottish Ambulance Service