© 2005 BMJ Publishing Group & Royal College of Paediatrics and Child Health
LEADING ARTICLE
Patient safety
The National Patient Safety Agency
Correspondence to:
Correspondence to:
Prof. T Stephenson
Professor of Child Health, Queen’s Medical Centre, Nottingham NG7 2UH, UK and Clinical Specialty Advisor to the NPSA, 4–8 Maple St, London W1T 5HD, UK; terence.stephenson@nottingham.ac.uk
Assisting the NHS to identify and learn when things go wrong
Keywords: safety; patient; prescribing; error
| The first 150 words of the full text of this article appear below. |
The National Patient Safety Agency (NPSA) is a Special Health Authority formed in 2001 to improve patient safety in the NHS across England and Wales. Currently, it has a budget of just over £15 million. The NPSA was created following the publication of two key reports by the Chief Medical Officer, Professor Sir Liam Donaldson, An organisation with a memory1 and Building a safer NHS.2An organisation with a memory refers to the death of Wayne Jowett following an inadvertent intrathecal vincristine injection, the 23rd such incident reported worldwide (and the 14th in 15 years in the United Kingdom).3
A central tenet of the NPSA’s creation was that it should assist all those involved in healthcare to identify and learn when things go wrong. When patient safety incidents occurred in the past they may not have been reported locally because they were not seen as important, staff
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