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PSNet: Patient Safety Network
Book/Report

An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England

Cousins D, Accidents A against M. 2020.

Health care organizations can learn from internal and external incidents to identify potential patient safety risks and incorporate care process improvements. This report suggests that England’s National Health Service has yet to build accountability and reliability into its response to practice alerts. The authors share 4 primary concerns and recommendations to address the alert compliance gaps that focus on clarity on action expected, transparency, communication and monitoring.