Archives of Disease in Childhood 2008;93:650-653
Leading article
Improving patient safety in paediatrics and child health
Professor Terence Stephenson, Academic Division of Child Health, School of Human Development, Nottingham University, Queen’s Medical Centre, Nottingham NG7 2UH, UK; terence.stephenson@nottingham.ac.uk
Accepted 5 March 2008
| The first 150 words of the full text of this article appear below. |
In 2005, I wrote about the new UK National Patient Safety Agency (NPSA).1 Table 1 lists some NPSA initiatives relevant to children introduced since then. However, patient safety is about much more than a government agency – it is about a huge cultural change in how doctors practise. Two case studies highlight some of the issues.
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View this table: Table 1 Recent National Patient Safety Agency initiatives aimed at the safety of children
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In October 2007 the US Department of Justice fined British Petroleum US$50 million relating to the 2005 Texas City refinery explosion which killed 15 people and injured 170. In November 2006 I spent a week with the oil company Shell, an attachment organised by the National School of Government. I wanted exposure to an industrial environment where, like paediatrics, safety is crucial and where things can go wrong very quickly. I retain three memorable images from my arrival at Shell, none of
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