569. rsa - national reporting and learning system, health

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23 May 2014

The National Reporting & Learning System (NRLS)

Patient Safety Summit

by Jo Seed
http://www3.imperial.ac.uk/news/businesshttp://www3.imperial.ac.uk/news/healthhttp://www3.imperial.ac.uk/news/businesshttp://www3.imperial.ac.uk/news/healthhttp://www3.imperial.ac.uk/news/engineeringhttp://www3.imperial.ac.uk/news/sciencehttp://www3.imperial.ac.uk/news/college-and-campushttp://www3.imperial.ac.uk/news/http://www3.imperial.ac.uk/


2/9

IGHI's Centre for Health Policy host event on the progress of the NRLS

Development Programme.

Patient safety experts gathered at the Royal Society of Arts last week at a summit

hosted by IGHIs Centre for Health Policyto hear about the progress of the National

Reporting and Learning System(NRLS) Development Programme. The NRLS, which

was set up in 2003, is a central database of patient safety incident reports and the aim

of the summit was to establish a common understanding of the strengths and

limitations of the NRLS and generate new and innovative ideas for the future of

incident reporting in patient safety.

Awareness about the true cost of medical errors leading to adverse events was raisedin the 1990s, when clear evidence suggested that large numbers of patients were

being harmed by preventable and avoidable medical errors. Reporting and learning

from errors is a key strategy for preventing and reducing the incidence of such and

this is well established in high-risk industries such as aviation and nuclear power.

Acknowledging this approach, the Chief Medical Officer published An Organisation

with a Memoryin 2000; establishing the National Patient Safety Agency(NPSA) and

the National Reporting and Learning System (NRLS).

In June 2012, the key functions and expertise for patient safety developed by the

NPSA including the NRLS transferred to NHS England. This was to ensure that

patient safety remains at the heart of the NHS agenda and builds on the learning and

expertise developed by the NPSA. NHS England commissioned Imperials Centre for
http://www.npsa.nhs.uk/http://www.aagbi.org/sites/default/files/An%20organisation%20with%20a%20memory.pdfhttps://report.nrls.nhs.uk/nrlsreporting/http://localhost/var/www/apps/conversion/tmp/scratch_1/globalhealthpolicy


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Health Policy to deliver a two-year development programme to improve the NRLS and

its impact on reducing harm. This is to ensure it is able to meet the needs of a

changing NHS and continues to build the evidence, knowledge and information to

improve the safety of patient care.

The summit heard from speakers including Professor the

Lord Darzi of Denham - Director of the Centre for Health

Policy and IGHI, Professor Sir Liam Donaldson Professor of Health Policy at Imperial, Ryan Callahan

Policy Fellow in the Centre for Health Policy, Professor

Nick Black of the London School of Hygiene and Tropical

Medicine, Dr Mike Durkin - National Director of Patient

Safety at NHS England, Professor Bill Runciman

Professor of Patient Safety at the University of South Australia, and Egbert Schillings

CEO of the Qatar Foundations World Innovation Summit for Health(WISH).

Lord Darzi, Director of the Centre for Health Policy and IGHI said The

NRLS is a rich source of information on patient safety and since its

inception eleven years ago, it has already received over nine million

incident reports. It is therefore vital that we collaborate in order to find

out what works and what doesnt and how do we improve the systemin which the learning from these reports will have an impact on patient

safety for generations to come.

Dr Mike Durkin, Director of Patient Safety at NHS England said The

NRLS is one of the jewels of our NHS and is a shining example to

other healthcare systems, but it is not flawless and we need to do

everything we can to improve it. There is real power in working with

partner organisations and collaborating internationally to identify the

best solutions from across the globe and by doing this, we can ensurethe NRLS continues to evolve and remains the worlds most comprehensive and

effective patient safety incident reporting system.

Sir Liam Donaldson said: Collecting the right data, analysing it well

and acting on the findings can save lives. The NRLS has still to

realise its full potential but it remains at the heart of the movement to

create a safer NHS

Watch the highlights video below for further information and to hearfrom the speakers.
http://www.wish-qatar.org/http://www.unisa.edu.au/http://www.england.nhs.uk/https://www.lshtm.ac.uk/


4/9

Jo SeedInstitute of Global Health Innovation

Reporter

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Institute of Global Health Innovation

Health

The National Reporting and Learning Systems Summit - 14th May 2014

nhsNRLS
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