Patient safety reports repeat same areas for improvement
Recommendations arising out of investigations by the patient safety watchdog Hiqa are repeatedly aimed at fixing the same problems at different centres, according to a new report,
Hiqa looked at seven of its investigation on quality and safety of healthcare services between 2009 and 2015, containing 232 recommendations in total.
It found that they repeatedly revolve around areas such poor leadership, governance, management and workforce.
It has now published new guidance for health services amid evidence that recommendations are either not followed up or only partly implemented.
Director of regulation Mary Dunnion said risk cannot be eliminated but the duty is to protect people as far as is reasonable.
When things go wrong, or desired outcomes are not achieved, there needs to be systems in place to collect, analyse, investigate and learn so that care is improved and mistakes are not repeated.