Reporting and learning systems national

Phipps, D.L., Tarrr, W.V. arrd Ashcroft, D.M. (in press). Integrating data from the UK National Reporting and Learning System with work domain analysis to understand patient safety incidents in commrmity pharmacy. Journal of Patient Safety, doi 10.1097/PTS.0000000000000090. 

The NPSA idenhfies patient safety-associated deficiencies with the aid of input from pahents and clinical experts, develops appropriate solutions, and monitors results of correchve measures within the NHS. Its initiatives and alerts include items such as hand hygiene, information for doctors and patients on steps to decrease risk of error, vaccine safety, and disclosure of error to all injured patients. Finally, the National Reporting and Learning System (NRLS) allows all NHS employees to provide the NPSA with reports on an anonymous basis. 

The UK national patient safety agency reporting and learning system... 

The institution of the new European licensing systems (centralised and de-centralilsed) in 1995 hcis brought about the most profound change in European pharmaceutical regulation since its inception. The scientific skills and the standards applied have undoubtedly risen, the leveling-off effect hcis been upwards rather than downwards. This is most evident in the new systems where the assessment reports are freely available, but it is edso likely to have affected the national procedures. Skills learned in the centralised procedure will also be applied to national applications. 

Substructure searching methods, then as now, retain pride of place in interest. Here, the advances are especially strongly evident many of the papers this week report on the operations of in-house and public structure and data retrieval systems, now very widespread in industry. Fourteen years ago, the ICI and BASF systems were two of a few operational search systems in industry, with Richard Feldmann s forerunner of the Chemical Information System(CIS) at the National Institutes of Health. The ICI CROSSBOW system, though, depended for some of its functions on the use of notations at the user interface, which restricted its use somewhat, as chemists wereunwilling to learn to encode structures for input. The performance of the BASF system was remarkable for the time, yet had already been in operation for over five years, and even included some generic structure storage and search capabilities. 

Roth, E. and OHara, J. (1998), Integrating Digital and Conventional Human System Interface System Lessons Learned from a Control Room Modernization Program, BNL Report J6012-3-4-5/98, Upton, NY Brookhaven National Laboratory. 

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