Instilling a patient safety culture in the NHS

摘要

Many patients suffered unnecessary indignities, avoidable harm and probably death at Mid Staffordshire as a result of avoidable causes.The Inquiry Chairman, Robert Francis QC, concluded that patients were. routinely neglected by a trust that was preoccupied with cost-cutting, targets and processes and which lost sight of its fundamental responsibility to provide safe-care. The most basic elements of care were neglected. Care failings included patient calls for help to use the bathroom being ignored, with some patients being left lying in soiled sheeting and sitting on commodes for hours, often feeling ashamed and afraid.