Adverse events review reports

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

Review reports

National Waiting Times Centre

NHS Ayrshire and Arran

NHS Borders

NHS Dumfries & Galloway

NHS Fife

NHS Forth Valley

NHS Grampian

NHS Greater Glasgow and Clyde

NHS Highland

NHS Lanarkshire

NHS Lothian

NHS National Services Scotland

NHS Orkney

NHS Shetland

NHS Tayside

State Hospital board for Scotland

NHS Western Isles

NHS 24

Scottish Ambulance Service