Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS.
London UK: Patient Safety Learning: 2022.
Unsafe care affects a wide range of individuals and organizations physically, emotionally, and financially. This report examines large system failures in the UK National Health Service to suggest actions that support learning and improvement. The publication highlights how public investigations, government reports, legal actions, and patient complaints can provide information to support the systems approach required to arrive at safe care.