Feedback from reporting patient safety incidents--are NHS trusts learning lessons?

J Health Serv Res Policy. 2010 Jan;15 Suppl 1:75-8. doi: 10.1258/jhsrp.2009.09s113.


For the study, first published in 2006, the researchers examined how well NHS organisations had attempted to use the information they gathered from adverse clinical incidents and whether they were learning from it. By looking at existing relevant research worldwide, interviewing experts, surveying NHS organizations (acute, community and ambulance), consulting health care and other high-risk industry safety experts and NHS risk managers, and investigating case studies of good practice, they developed a model to assess how ready NHS systems were to learn from incidents. This is known as Safety Action and Information Feedback from Incident Reporting (SAIFIR).

MeSH terms

  • Data Collection
  • Feedback
  • Humans
  • Interviews as Topic
  • Management Audit
  • Medical Errors / prevention & control*
  • Quality Assurance, Health Care
  • Review Literature as Topic
  • Risk Management
  • Safety Management / organization & administration*
  • State Medicine / organization & administration*
  • United Kingdom