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Study
Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'.
May 18, 2022
Lalani M, Morgan S, Basu A, et al. J Health Serv Res Policy. 2023;28(1):50-57.
Autopsies following unexpected deaths can provide valuable insights and learning opportunities for improving patient safety. In 2017, the National Health Service (NHS) implemented “Learning from Deaths” (LfD) to report, learn from, and avoid potentially preventable deaths. Through interviews with policy makers, managers, and senior clinicians responsible for implementing the policy, this study reports on how contextual factors influenced implementation of the LfD policy.
