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(1) National Reporting and Learning is crucial for better patient safety
The National Patient Safety Agency will be rolling out the new
National Reporting and Learning System for National Health Service-funded
health care in England and Wales during the next year. In the
first of four articles, Wendy Harris, senior pharmacist at the
NPSA, reviews the evidence on reporting and reflects on the role
pharmacists can play
(PDF*
60K)
Pharmaceutical Journal, 22 November 2003, p719. Vol 271, no
7276
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(2) A new standard coding system for reporting patient safety incidents
Over the next year the National Patient Safety Agency will be
rolling out the new National Reporting and Learning System for
NHS-funded health care in England and Wales. In this article,
David Cousins, head of safe medication practice at the NPSA, highlights
some important features of the system and how to use the codes
for patient safety incidents involving medicines
(PDF*
65K)
Pharmaceutical Journal, 29 November 2003, p749. Vol 271, no
7277
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(3) Hows and whys of medication errors
The National Patient Safety Agency will begin piloting root cause
analysis (RCA) for pharmacy staff in England and Wales in January
2004. RCA is a technique that will enhance national and local
learning from incident reporting. In the third of a series of
articles, Wendy Harris, senior pharmacist at the NPSA, explains
why RCA will be so important to pharmaceutical practice
(PDF*
85K)
Pharmaceutical Journal, 6 December 2003, p781. Vol 271, no
7278
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(4) Do you know why you make errors?
In the last of a series of articles, Wendy Harris, senior pharmacist
at the National Patient Safety Agency, describes how various tools
and techniques can facilitate the detection of systems errors
and embed patient safety in every aspect of practice
(PDF*
70K)
Pharmaceutical Journal, 13 December 2003, 816. Vol 271, no
7279
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