Management of adverse events

Adverse Events Management Programme Board and Working Groups

We have a programme board which is jointly chaired by Robbie Pearson, Director of Scrutiny & Assurance, and David Farquharson, Medical Director, NHS Lothian which will support and monitor implementation of the national approach.

To view the terms of reference or find out more information visit our adverse events community of practice website or contact: Jenny Long, National Approach Lead.

A national approach to learning from adverse events through reporting and review

An adverse event can be defined as an event that could have caused, or did result in, harm to people or groups of people.

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 develop a national framework and programme of review. This should support NHS boards to learn from these events in order to minimise the risk of them happening again.

This programme of work will:

  • develop a consistent national approach to identification, investigation, reporting and learning from adverse events based upon national and international good practice
  • provide public assurance on the appropriate management of  adverse events through a rolling programme of NHS board reviews.

Scrutiny

Management of adverse events review visits

Frequently Asked Questions

Find out more about about the focus, purpose and procedure of our review visits to NHS boards.

For more information or if you have any further questions, please email the adverse events team at:

hcis.adverseevents@nhs.net