Report on the outcomes of the public consultation on the Draft National Statement of Outcomes: Standards for the Conduct of Reviews of Patient Safety Incidents

摘要

The Health Information and Quality Authority (HIQA) and the Mental Health Commission (MHC) developed these joint National Standards for the Conduct of Reviews of Patient Safety Incidents. These standards were commissioned by the Department of Health and are underpinned by findings from the Chief Medical Officer’s 2014 Report on Perinatal Deaths in HSE Midland Regional Hospital Portlaoise, (1) which recommended the development of national standards on the conduct of reviews of patient safety incidents, following the identification of shortfalls with the current system in Ireland. These Standards provide a framework for best practice in the conduct of reviews of patient safety incidents. They cover the conduct of reviews of patient safety incidents including: review of the incident, implementation of recommendations of the review and sharing the learning from the review. The National Standards for the Conduct of Reviews of Patient Safety Incidents are designed to apply to acute hospitals under the remit of HIQA and mental health services under the remit of the MHC.