QI Curriculum

Learning from deaths in the NHS

NHS England has commissioned a National Retrospective Case Record Review Programme to support the standardisation and learning from mortality case note reviews in NHS Trusts. These reviews require a training programme to support uptake, roll-out learning and share best practice. The Eastern AHSN provides the structure, resources and expertise to help with the local implementation of this national programme.

What we know

Reducing avoidable deaths and making improvements in patient care is a national priority for both patients and providers. In response to this the Royal College of Physicians (RCP) has recognised a programme of learning developed by the Yorkshire & Humber AHSN. The programme has the potential to deliver improvements through case note review following the death of a patient. The standardised process allows for better analysis of information and improves learning. Eastern AHSN is working with NHS Trusts across the East of England to develop standardised, systematic, evidence-based, mortality reviews.

Resources

Leading in a crisis: the power of transparency

Sadler B, Stewart K 2015, The Health Foundation Leading in […]

Posted in Mortality, Patient Safety | Comments Off on Leading in a crisis: the power of transparency

Learning candour and accountability

Published by the CQC – A review of the way […]

Posted in Mortality, Patient Safety | Comments Off on Learning candour and accountability

National Guidance on Learning from Deaths

Published by the National Quality Board – A Framework for […]

Posted in Mortality, Patient Safety | Comments Off on National Guidance on Learning from Deaths

Learning from Deaths in the NHS

A framework to help standardise and improve how NHS providers […]

Posted in Mortality, Patient Safety | Comments Off on Learning from Deaths in the NHS

Preventable deaths due to problems in care in English acute hospitals

Preventable deaths due to problems in care in English acute […]

Posted in Mortality, Patient Safety | Comments Off on Preventable deaths due to problems in care in English acute hospitals

The findings of the Mid-Staffordshire Inquiry do not uphold the use of hospital standardized mortality ratios as a screening test for ‘bad’ hospitals

The Mid-Staffordshire Public Inquiry findings are published on the website. […]

Posted in Mortality, Patient Safety | Comments Off on The findings of the Mid-Staffordshire Inquiry do not uphold the use of hospital standardized mortality ratios as a screening test for ‘bad’ hospitals

Structured judgement method to enhance mortality case note review

Original research – structured judgement method to enhance mortality case […]

Posted in Mortality, Patient Safety | Comments Off on Structured judgement method to enhance mortality case note review

Keogh Review 2013

Keogh Review –A review into the quality of care and treatment […]

Posted in Mortality, Patient Safety | Comments Off on Keogh Review 2013
Designed by Cube Creative