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National Patient Safety Agency

NPSA releases Organisation Patient Safety Incident reporting data (Wales)

Tuesday 13 September 2011

NPSA Announcements

The National Patient Safety Agency (NPSA) today published the latest set of Organisation Patient Safety Incident data.    


Today’s figures show that the number of patient safety incidents in Wales that occurred between 1 October 2010 and 31 March 2011 and were submitted to the NPSA by 31 May 2011 was 26,749, which is a nine per cent decrease on the previous reporting period (1 April 2010 to 30 September 2010.) 


Scrupulous reporting and analysis of safety related incidents, particularly incidents resulting in no or low harm, provides an opportunity to reduce the risk of future incidents through learning. All nine NHS organisations in Wales submitted incident reports for this set of data.


The National Reporting and Learning System continues to capture, analyse and feedback patient safety incidents to the NHS. The data published today also show that:


  • 18,634 (70 per cent) of all patient safety incidents resulted in no harm to the patient;

  • 5,706 (21 per cent) resulted in low harm;

  • 2,263 (eight per cent) resulted in moderate harm;

  • 146 (0.6 percent) resulted in death or severe harm.*


The most common types of incident were: patient accidents – slips, trips and falls (39 per cent); treatment/procedure (eight per cent); access, admission, transfer, discharge (seven per cent); 


Six out of nine organisations in Wales reported regularly (every month over the six-month period).


Commenting on the data, Sarndrah Horsfall, Chief Executive of the National Patient Safety Agency, said.


Identifying patient safety incidents and ensuring they are reported and analysed is at the heart of reducing risk in healthcare. NHS organisations should use the data and review the tools, guidance and support available to them.


“This will ensure patient safety incidents continue to be reported and learned from, strengthening the patient safety culture across all levels of the NHS in Wales.”


For a full breakdown of figures see: www.nrls.npsa.nhs.uk/organisationdata



*Definitions of levels of harm: 
No harm: 

Impact prevented – any patient safety incident that had the potential to cause harm but was prevented, resulting in no harm to people receiving NHS-funded care. 
Impact not prevented – any patient safety incident that ran to completion but no harm occurred to people receiving NHS-funded care. 
Low: Any patient safety incident that required extra observation or minor treatment and caused minimal harm, to one or more persons receiving NHS-funded care. 
Moderate: Any patient safety incident that resulted in a moderate increase in treatment and which caused significant but not permanent harm, to one or more persons receiving NHS-funded care. 

Severe: Any patient safety incident that appears to have resulted in permanent harm to one or more persons receiving NHS-funded care. 
Death: Any patient safety incident that directly resulted in the death of one or more persons receiving NHS-funded care. 


Notes to editors


1.  Media enquiries to Matthew Grek in the NPSA Press Office:


0207 927 9362 / press.office@npsa.nhs.uk 


2. Following the publication of the Arms Length Body Review on 26 July 2010, the NPSA has stressed the importance for all NHS organisations across England and Wales to continue reporting patient safety incidents through the National Reporting and Learning System.