Management of Adverse Events: Review Report NHS Shetland

Mark Aggleton, Nanisa Feilden, Jamie Malcolm, Marguerite Robertson, Kevin Rooney, Edel Sheridan

Research output: Book/ReportCommissioned report

Abstract

Reviewing NHS boards’ governance arrangements and processes for managing adverse events helps us to identify whether appropriate learning and improvement is taking place to reduce the risk of events happening again.Our reviews focus on the six key recommendations (18–23) for NHS boards from the NHS Ayrshire & Arran report (2012) to provide assurance that NHS boards are effectively managing adverse events. We measure NHS boards against the recommendations within the NHS Ayrshire & Arran report and against their own policies.Our review of NHS Shetland's governance arrangements and processes for managing adverse events involved: an analysis of evidence provided by the NHS board, and a visit to NHS Shetland on Thursday 18 to Friday 19 April 2013This report highlights areas of strengths as well as areas for further improvement, including recommendations for actions.
Original languageEnglish
Place of PublicationEdinburgh
PublisherHealthcare Improvement Scotland
Commissioning bodyHealthcare Improvement Scotland
Number of pages29
Publication statusPublished - Jun 2013
Externally publishedYes

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Aggleton, M., Feilden, N., Malcolm, J., Robertson, M., Rooney, K., & Sheridan, E. (2013). Management of Adverse Events: Review Report NHS Shetland. Edinburgh: Healthcare Improvement Scotland .