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Understanding the factors influencing implementation of a new national patient safety policy in England: Lessons from 'learning from deaths'.


ABSTRACT:

Objective

A new patient safety policy, 'Learning from Deaths' (LfD), was implemented in 2017 in National Health Service (NHS) organisations in England. This study examined how contextual factors influenced the implementation of LfD policy and the ability of the programme to achieve its goals.

Methods

Semi-structured interviews were undertaken with key policymakers involved in the development of the policy, along with interviews with managers and senior clinicians in five NHS organisations responsible for implementing the policy at the local level. We also undertook non-participant observation of relevant meetings and documentary reviews of key organisation procedures and policies pertaining to LfD.

Results

The study findings suggest several factors that hinder or supp

SUBMITTER: Lalani M 

PROVIDER: S-EPMC9850371 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature