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Improving Safety Through Education and Training

Report by the Commission on Education and Training for Patient SafetyImproving Safety Through Education and Commission on Education and Training for Patient Safety2 ContentsForeword ..3 Executive summary ..4 Our recommendations ..5 Introduction ..8 The case for change ..9 How safe are patients in the NHS? ..9 Recent patient Safety improvements ..10 Making change in partnership with others ..12 About this report ..13 Creating a culture of shared learning ..15 Good practice and learning from incidents is rarely shared across the NHS.

The NHS needs to do more to ensure openness when things go wrong..... 25 Lifelong learning ... impossible if there continues to be a blame culture where ... national partner organisations and employers to ensure that the learning environment encourages and supports

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