Maximising learning from patient safety incidents in emergency care.

Why you should read this article: • To enhance your knowledge of the current approach for responding to patient safety incidents • To understand the importance of developing a culture of learning from patient safety incidents • To contribute towards revalidation as part of your 35 hours of CPD (UK readers) • To contribute towards your professional development and local registration renewal requirements (non-UK readers). In a modern healthcare system, a systems approach to patient safety is essential to learn from incidents and mitigate the risk of avoidable harm to patients. Emergency nurses have an important role in the prevention, identification, reporting, investigation and management of patient safety incidents in the emergency department (ED). This article describes the role of emergency nurses and the ED governance team in patient safety, discusses the interacting work-system factors that contribute to incidents, and introduces the key aspects of the patient safety incident response framework (PSIRF). The author discusses how the PSIRF represents a shift in the way patient safety incidents are managed, with a move away from apportioning blame towards a culture of learning and quality improvement. [ABSTRACT FROM AUTHOR]