Management of Adverse Events: Review Report Scottish Ambulance Service

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 Scottish Ambulance Service's governance arrangements and processes for managing adverse events involved: an analysis of evidence provided by SAS, and a visit to the Scottish Ambulance Service on Thursday 22nd August 2013 This report highlights areas of strengths as well as areas for further improvement, including recommendations for actions.