Publications by authors named "Dorit Braun"
Introduction: Regulation through statutory reporting is used in healthcare internationally to improve accountability, quality of care and patient safety. Since 2017, within the National Health Service (NHS) in England, NHS Secondary Care Trusts (NSCTs) are legally required to report annually both quantitative and qualitative information related to patient deaths within their care within their publicly available Quality Accounts as part of a countrywide patient safety programme: The Learning from Deaths (LfDs) programme.
Method: All LfDs reports published between 2017 (programme inception) and 2020 were reviewed and evaluated through a critical realist lens, quantitatively reported using descriptive statistics and qualitatively using reflexive thematic analysis.
Article Synopsis
- The "Learning from Deaths" framework was introduced in the NHS in England in 2017 to improve patient safety by requiring trusts to report and analyze deaths associated with care problems.* -
- A review of reports from 2017 to 2020 showed that while many trusts identified learnings and actions taken, there was inconsistency in the understanding of what constitutes effective learning and limited oversight.* -
- Although the engagement with the LfDs program varies among trusts, it remains uncertain how well this learning translates into preventing future patient deaths, highlighting the need for a clear definition of effective learning in this context.*
Objectives: To review how National Health Service (NHS) Secondary Care Trusts (NSCTs) are using the Learning from Deaths (LfDs) programme to learn from and prevent, potentially preventable deaths.
Introduction: Potentially preventable deaths occur worldwide within healthcare organisations. In England, inconsistencies in how NSCTs reviewed, investigated and shared LfDs, resulted in the introduction of national guidance on 'LfDs' in 2017.