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skip to content skip to main menu search this site search toggle navigation about us who we are how we work our support offer our leadership corporate publications jobs improvement hub resources events news and alerts contact us my account sign in register home resources learning from patient safety incidents learning from patient safety incidents theme: patient safety topic: patient safety resource type: collection source: nhs improvement published on: 28 september 2014 last updated: 12 june 2018 full page history 12 june 2018 updated with information about the national patient safety agency. 20 march 2017 updated page with new video on the importance of reporting patient safety incidents to the nrls. 24 september 2014 first published. ( 0 ) add to favourites share this page facebook twitter linkedin email we explain why recording patient safety incidents is important for learning and how to report these incidents. you can also find out how many incidents were recorded and how we use them to support healthcare providers to improve patient safety. add to favourites share this page facebook twitter linkedin email rate this resource ( 0 ) looking for content from the old national patient safety agency (npsa) website? the national patient safety agency (npsa) website has now been archived. past npsa alerts and guidance remain available on the archived website but please use these materials with caution. the national nhs patient safety team is now part of nhs improvement. details of our current reporting and alerting functions can be found below. please note: npsa alerts were only updated to reflect changes in current safety knowledge or clinical care until the point their ‘action compete' date was reached. some of these ‘action complete' dates for npsa alerts, safety notices and rapid response reports were over 15 years ago. no npsa publications have been updated since the closure of the agency in 2012, with the exception of key actions still relevant to the never events policy and framework . recording incidents protects patients from harm and saves lives when things go wrong in care, it is vital incidents are recorded to ensure learning can take place. by learning, we mean people working out what has gone wrong and why it has gone wrong, so that effective and sustainable actions are then taken locally to reduce the risk of similar incidents occurring again. we manage and operate the national reporting and learning system (nrls), which is the world’s largest and most comprehensive patient safety incident reporting system and receives over two million reports each year. this national system receives incident reports via healthcare organisations’ own local risk management systems where people are encouraged to record details of incidents to support local learning. a small proportion of incidents are also recorded directly on the nrls, usually where people don't have a local risk management system to record incidents. how we use information submitted to the nrls we use incidents recorded in the nrls to support learning and improvement at a national level. reviewing and analysing these incidents gives us a greater understanding of national priorities for safety improvement. it also helps us identify emerging risks and issues that might not be recognised locally and could merit national action. the national action we take includes issuing patient safety alerts to raise awareness of a particular risk and to support providers across the nhs to prevent it. two-minute video outlining the importance of reporting patient safety incidents to the national reporting and learning system. while patient safety alerts have always been the visible flagship of the process, we also work with our regulatory, clinical and industry partners to address issues identified through incident reports. our patient safety review and response reports contain case studies and further explanation on how we do this. data on patient safety incidents reported to the nrls every six months we publish official statistics on patient safety incidents recorded on the nrls. this usually happens in march and september. data is published in two formats: organisation patient safety incident reports : provides a breakdown of patient safety incidents recorded on the nrls by nhs providers national data on patient safety incident reports : provides a national overview of patterns and trends in the incidents recorded on the nrls monthly data on patient safety incident reports : provides rolling monthly data by organisation on the number of incidents reported to the nrls in the previous 12 months. how nrls data should be used we want to help all users of nrls data to understand and use it appropriately. this is important not only for accurate interpretation, but to ensure we continue to encourage improvements in identifying and sharing information about patient safety incidents. if you use nrls data, then you should follow our data principles . report a patient safety incident both healthcare staff and the general public are encouraged to report patient safety incidents, whether they result in harm or not. find out how to report a patient safety incident . development of the patient safety incident management system (dpsims) we're working to design and deliver a successor to the nrls and steis (the strategic executive information system) through the dpsims project . the project will develop a new system to better support the nhs to learn about what goes wrong in healthcare, and provide learning resources to support safety improvement. related content patient safety alerts report a patient safety incident patient safety review and response: april to september 2016 organisation patient safety incident reports national quarterly data on patient safety incident reports patient safety data from nhs wales articles the future of the patient safety incident reporting: upgrading the nrls published: 9 march 2017 article type: news story get updates to this page by rss feed theme: patient safety topic: patient safety resource type: collection source: nhs improvement published on: 28 september 2014 last updated: 12 june 2018 full page history 12 june 2018 updated with information about the national patient safety agency. 20 march 2017 updated page with new video on the importance of reporting patient safety incidents to the nrls. 24 september 2014 first published. is there anything wrong with this page? help us improve this website do not include any personal, sensitive or confidential information. what you were doing what went wrong please confirm the following: * follow us on twitter follow us on linkedin follow us on youtube privacy cookies terms and conditions 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Whois Information

Whois is a protocol that is access to registering information. You can reach when the website was registered, when it will be expire, what is contact details of the site with the following informations. In a nutshell, it includes these informations;

Domain name:
nhs.uk

Registrant:
Department of Health

Registrant type:
UK Government Body

Registrant's address:
Health and Social Care Information Centre
Informatics Directorate
Department of Health
Princes Exchange
Princes Square
Leeds
West Yorkshire
LS1 4HY
GB


Registrar:
No registrar listed. This domain is directly registered with Nominet.

Relevant dates:
Registered on: before Aug-1996

Name servers:
nsa.nhs.uk. 194.176.105.223
nsb.nhs.uk. 80.2.101.230


WHOIS lookup made at 21:42:03 02-Apr-2018

--
This WHOIS information is provided for free by Nominet UK the central registry
for .uk domain names. This information and the .uk WHOIS are:

Copyright Nominet UK 1996 - 2018.

You may not access the .uk WHOIS or use any data from it except as permitted
by the terms of use available in full at http://www.nominet.uk/whoisterms,
which includes restrictions on: (A) use of the data for advertising, or its
repackaging, recompilation, redistribution or reuse (B) obscuring, removing
or hiding any or all of this notice and (C) exceeding query rate or volume
limits. The data is provided on an 'as-is' basis and may lag behind the
register. Access may be withdrawn or restricted at any time.

  REFERRER http://www.nominet.org.uk

  REGISTRAR Nominet UK

SERVERS

  SERVER uk.whois-servers.net

  ARGS nhs.uk

  PORT 43

  TYPE domain

OWNER

  ORGANIZATION Department of Health

TYPE
UK Government Body

ADDRESS
Health and Social Care Information Centre
Informatics Directorate
Department of Health
Princes Exchange
Princes Square
Leeds
West Yorkshire
LS1 4HY
GB

DOMAIN

  SPONSOR No registrar listed. This domain is directly registered with Nominet.

  CREATED 1996-08-00

NSERVER

  NSA.NHS.UK 194.176.105.223

  NSB.NHS.UK 80.2.101.230

  NAME nhs.uk

DISCLAIMER
This WHOIS information is provided for free by Nominet UK the central registry
for .uk domain names. This information and the .uk WHOIS are:
Copyright Nominet UK 1996 - 2018.
You may not access the .uk WHOIS or use any data from it except as permitted
by the terms of use available in full at http://www.nominet.uk/whoisterms,
which includes restrictions on: (A) use of the data for advertising, or its
repackaging, recompilation, redistribution or reuse (B) obscuring, removing
or hiding any or all of this notice and (C) exceeding query rate or volume
limits. The data is provided on an 'as-is' basis and may lag behind the
register. Access may be withdrawn or restricted at any time.

  REGISTERED yes

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