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.