national patient safety report 2013

What are national patient safety incident reports (napsirs)?

The National patient safety incident reports (NaPSIRs) set out the number of patient safety incidents reported to the NRLS and describes national patterns and trends. NaPSIRs were previously called Quarterly Data Summaries (QDS).

How do you identify issues and risks in patient safety?

You can find details of how we identify issues and risks by reviewing patient safety incident reports, and the action we take as a direct result to protect patients from harm in our Patient safety review and response reports.

How often are incidents reported to the NRLs?

We publish annual official statistics on incidents reported to the NRLS. Prior to the 29 September 2021 data, these official statistics were published every six months. The National patient safety incident reports (NaPSIRs) set out the number of patient safety incidents reported to the NRLS and describes national patterns and trends.

What are the 7 National Patient Safety Goals?

What Are the 7 National Patient Safety Goals for Hospitals in 2021?Identify patients correctly. ... Improve staff communication. ... Use medicines safely. ... Use alarms safely. ... Prevent infection. ... Identify patient safety risks. ... Prevent mistakes in surgery.

What are the five National Patient Safety Goals?

This is done to make sure that each patient gets the correct medicine and treatment.Identify patients correctly.Prevent infection.Improve staff communication.Identify patient safety risks.Prevent mistakes in surgery.

What are the top 3 incidents reported by the NPSA?

The top four most commonly reported types of incident have remained the same: patient accidents (20.9%), implementation of care and ongoing monitoring/review incidents (11.4%), treatment/procedure incidents (11.3%), and medication incidents (10.7%).

What is a patient safety report?

Patient Safety Reporting (PSR) gives military treatment facility personnel the ability to anonymously report medical events that impact the safety of patients.

What are the 2021 National Patient Safety Goals?

The Joint Commission's 2021 national patient safety goals for hospitals are:Improve the accuracy of patient identification.Improve staff communication.Improve the safety of medication administration.Reduce patient harm associated with clinical alarm systems.Reduce the risk of healthcare-associated infections.More items...•

What are the 2022 National Patient Safety Goals?

2022 Joint Commission National Patient Safety Goals1 Identify Patients Correctly. ... 2 Improve Staff Communication. ... 3 Use Medicines Safely. ... 4 Use Alarms Safely. ... 5 Prevent Infection. ... 6 Surgery Verification.

What is the NPSA now called?

(NPSA) have now been transferred to NHS England. For primary care, relevant alerts will be cascaded via NHS England Area Teams. Why the new system?

What Is a Stage 2 National Patient Safety Alert?

Stage Two alerts will include examples of good practice to mitigate the risk that have been shared by providers following a Stage One alert; access to resources to help introduce new measures to reduce risks; and access to relevant training programmes.

What is patient safety NHS?

Patient safety is the avoidance of unintended or unexpected harm to people during the provision of health care. We support providers to minimise patient safety incidents and drive improvements in safety and quality. Patients should be treated in a safe environment and protected from avoidable harm.

What is the National patient safety goal 6?

accurate patient medication information. Goal 6: Reduce patient harm associated with clinical alarm systems.

What are the top 5 medical errors?

Eight common medical errors that harm patients are:Diagnostic Errors and Mistakes. ... Medication Errors. ... Surgical Errors. ... Labor and Delivery Errors. ... Anesthesia Errors. ... Failure to Obtain Informed Consent. ... Communication Errors. ... Infections and Secondary Complications.

Why is patient safety reporting important?

It helps identify root causes: All healthcare incidents have a cause. The root causes must be identified—and corrected—to try to prevent adverse events from recurring. A patient incident report is a detailed, written account of the chain of events leading up to an adverse event.

What was the progress made in 2013?

The progress made in 2013 is a reflection on the contribution from staff all across the service delivery system to the Quality and Patient Safety agenda. This contribution included chairing/membership of committees, workgroups, advisory groups; reviewing documents and processes and providing good feedback; partaking in pilots and evaluations; implementing new policies and work practices; providing training and support to colleagues; and sharing learning and good practice.

What is the National Office of Clinical Audit?

The establishment of the National Office for Clinical Audit (NOCA – www.noca.ie) Through collaborative agreement between the Quality and Patient Safety Directorate of the Health Service Executive (HSE) and the Royal College of Surgeons in Ireland (RSCI), RSCI is providing administrative and operational support to the National Office of Clinical Audit. NOCA functions through an Executive Team which provides managerial and operational support to deliver the objectives of the NOCA Governance Board. The NOCA Governance Board is an independent voluntary Board, which oversees the establishment of sustainable clinical audit programmes in agreed specialties. The central aim of all NOCA audit streams is to improve clinical services for patients in Ireland.

What is QA+I in healthcare?

Part of this work has been to develop a Quality Assessment and Improvement (QA+I) Tool to support services to assess against the Standards. This tool has been developed in collaboration with service providers across the system. It is available as a web enabled tool and is complemented by eight individual workbooks which reflect the themes of the National Standards.

What is the principle of RCPI?

The overarching principle of the RCPI and HSE clinical programme for the prevention of healthcare-associated infection (HCAI) & antimicrobial resistance (AMR) is that every patient/resident/client receives high quality safe health care irrespective of where healthcare is delivered, in a healthcare system where the acquisition of HCAI and AMR is minimised.

What is the primary objective of the advocacy unit?

The primary objective of the advocacy unit is to ensure that the involvement of service users is central to how health care services are designed, delivered and evaluated and the unit supports service users and staff to deliver on this goal. The progress made in 2013 includes:

What was the HSE in 2013?

2013 has been a year of significant change within the HSE with the establishment of the HSE Directorate, the set up of the five service divisions (Acute services, primary care, health and wellbeing, mental health and social care) and the establishment of the first hospital groups.

What is the role of QPS?

The role of the QPS Division is to provide leadership, and be a driving force, in quality and patient safety by supporting the statutory and voluntary services of the HSE in providing high quality and safe services to patients their families and members of the public.

Data published before September 2016

Reports published prior to September 2016 are available on the archived NRLS website.

Upcoming publication dates

We are now publishing this data and the organisation patient safety incident reports (OPSIR) once a year rather than every six months. The next publication is due in September 2021.

Our patient safety incident reporting data publications will be changing with the adoption of LFPSE, from mid-2021 onward

Due to the development of a new Learn from patient safety events service (LFPSE) the type of data we routinely publish on patient safety incident reports will be changing. This will affect the ability to compare data over time.

How we use incident reports submitted to the NRLS to improve patient safety

You can find details of how we identify issues and risks by reviewing patient safety incident reports, and the action we take as a direct result to protect patients from harm in our Patient safety review and response reports.