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July 21, 2021

NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme.

Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. BMJ Open. 2021;11(7):e046619. doi: 10.1136/bmjopen-2020-046619.

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Brummell Z, Vindrola-Padros C, Braun D, et al. BMJ Open. 2021;11(7):e046619.

Organizations are expected to learn from failures. The National Health Service Secondary Care Trusts (NSCT) are required to report, learn from, and prevent potentially preventable deaths using the ‘Learning from Deaths’ program. Common action themes include reviewing organizational processes and highlighting appropriate guidelines or protocols. Future research should focus on which actions were most successful at decreasing potentially preventable deaths and disseminating that knowledge.

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Brummell Z, Vindrola-Padros C, Braun D, et al. NHS ‘Learning from Deaths’ reports: a qualitative and quantitative document analysis of the first year of a countrywide patient safety programme. BMJ Open. 2021;11(7):e046619. doi: 10.1136/bmjopen-2020-046619.