Opening the door to change: NHS safety culture and the need for transformation. 2018;

Care Quality Commission tell Medway Maritime Hospital to make improvements in urgent and emergency services. 2021a;

Inspection report for Medway Maritime Hospital. 2021b;

An organisation with a memory. Report of an expert group on learning from adverse events in the NHS chaired by the Chief Medical Officer. 2000;

Francis R Report of the Mid Staffordshire NHS Foundation Trust public inquiry. Executive summary. 2013;

Modern ward rounds: good practice for multidisciplinary inpatient review. 2021;

The NHS patient safety strategy: safer culture, safer systems, safer patients. 2019;

NHS Patient Safety Strategy:2021 update. 2021;

Patient safety: tensions, challenges and opportunities

25 March 2021
Volume 30 · Issue 6

In all fields of academic study there are ‘seminal’ books, reports and policy documents that have been highly influential and change-making. We all have our own favourites and my top three are An Organisation With a Memory (Department of Health, 2000), the Francis report (2013) and Opening the Door to Change (Care Quality Commission (CQC), 2018). These reports all brought new knowledge and perspectives to patient safety and continue to influence policy direction. There are many other contenders for the category of the most influential patient safety reports—to choose one is an exercise of value judgement and personal preference, and a valuable one in terms of fermenting debate.

Another contender for one of my favourite influential patient safety reports is emerging: the NHS Patient Safety Strategy (NHS England and NHS Improvement, 2019). A 2021 update has recently been published, which shows the excellent work going on to implement the policy objectives set out in the original report. This update (NHS England and NHS Improvement, 2021) also refreshes elements of the national patient safety strategy and sets out new objectives.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content