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New figures lift lid on hospital patient safety; 5,326 incidents recorded in six months.

Byline: ALICE CACHIA and DAVE HIMELFIELD editorial@examiner.co.uk @Examiner

THE equivalent of 29 patient safety incidents were recorded every day by the trust which runs Huddersfield Royal Infirmary, new figures reveal.

Statistics from NHS Improvement show 5,326 patient safety incidents were recorded by Calderdale and Huddersfield Foundation Trust (CHFT) in the six months to March 2018.

Of these incidents recorded by the trust, which also runs Calderdale Royal Hospital, Halifax, two involved the deaths of patients.

It is vital continue and report a transparent Aidan Meanwhile 24 incidents were classed as 'severe',' meaning the patient suffered permanent or long-term harm.

A patient safety incident is defined as any unintended or unexpected incident that either harmed or could have harmed at least one patient receiving care.

The National Reporting and Learning System (NRLS) collates all patient safety incidents and groups them into categories.

Figures show that 1,155 patient safety incidents were classed as a 'patient accident.'.

The NRLS says this includes having collisions with objects, having contact with 'sharps' including needles or scalpels, exposure to cold and heat, and inappropriate patient handling or positioning.

that NHS staff to recognise incidents. in way.

Examples can include a patient in a radiography department sitting up and hitting their head on X-ray equipment, a patient with reduced consciousness or sensation levels being left with a limb trapped, and a patient on the operating table having their arm rotated into an unnatural position resulting in actual or potential nerve damage.

Fowler, of NHS Improvement There were also 1,349 patient safety incidents relating to the implementation of care and ongoing monitoring.

Examples of this type of incident could include a patient responding to another patient's name and receiving the other patient's treatment, failing to monitor a patient's oxygen saturation levels, and daily reviews not being written.

A further 864 patient safety incidents were classed as 'access, admission, transfer, discharge (including missing patient)' in the six months to March 2018 - which could include delays in accessing hospital care, sending patients home too early and failing to refer patients to the correct speciality.

There were also 210 clinical assessment patient safety incidents recorded to the NRLS.

These could include failing to take a patient's blood pressure when displaying symptoms of a heart attack, not assessing a patient's susceptibility to pressure sores or falls, and delaying or failing to identify diseases or conditions.

Some 396 incidents related to medication. The NRLS says this can include prescribing incidents, patients refusing to take medication, and monitoring incidents.

Other reports recorded by the trust include confidentiality, documentation, and medical equipment incidents. Hospital trusts don't actually have to report patient safety incidents to the NRLS, although they are encouraged to do so. It could therefore be the case that more safety incidents occurred at the trust than went reported.

Aidan Fowler, National Director of Patient Safety at NHS Improvement, said: "It is vital that NHS staff continue to recognise and report incidents in a transparent way to support patient safety improvement both within their organisation and across the NHS."

It is vital that NHS staff continue to recognise and report incidents in a transparent way. Aidan Fowler, of NHS Improvement
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Publication:Huddersfield Daily Examiner (Huddersfield, England)
Date:Feb 18, 2019
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