Patient safety - learning from events

All types of events/incidents offer an important opportunity for reflection and learning. More often than not, events/incidents highlight areas which, when appropriate actions are put in place, can improve the quality, safety and experience for patients, carers and staff. Events/incidents can also demonstrate good practice. 

Below is a summary of the standard for patient safety. Please click the PDF at the end of the summary to read the full explanation and additional details.       

What to expect from your GP practice:


  • Health professionals must be open and honest with patients when things go wrong. This is known as the ‘duty of candour’

  • Your practice must report, manage and handle events/incidents using a web-based software system

  • All staff should know what an event/incident is and how to prioritise

  • Practices should keep evidence of events/incidents like personal testimonies, written records and other healthcare documentation

  • If there is an event/incident, all members of the practice (if appropriate) should be told about it to help identify how it happened, how things could have been done differently to stop it from happening again

  • If changes are made, they should be monitored to make sure they are working

  • Practices must always report:

    • Suicides

    • Requests for coroners statements

    • Death in practice premises


Download full details of Standard 9.1 Patient Safety