The Care Quality Commission (CQC)’s final report on how NHS trusts review and investigate unexpected mortality in hospital patients in England concludes that a culture of learning from avoidable patient deaths has not been given sufficient priority, either nationally or locally. Recommendations are made for improvements.
NHS ‘must be more open on preventable patient deaths’. London: BBC Health News, December 13th 2016.
This relates to:
Learning, candour and accountability. [Online]: Care Quality Commission, December 13th 2016.
The full report:
Learning, candour and accountability: a review of the way NHS trusts review and investigate the deaths of patients in England. London: Care Quality Commission, December 2016.
There is an Executive Summary.