Health Services Research Centre, Coventry University, Coventry.
J Health Serv Res Policy. 2010 Jan;15 Suppl 1:75-8. doi: 10.1258/jhsrp.2009.09s113.
For the study, first published in 2006, the researchers examined how well NHS organisations had attempted to use the information they gathered from adverse clinical incidents and whether they were learning from it. By looking at existing relevant research worldwide, interviewing experts, surveying NHS organizations (acute, community and ambulance), consulting health care and other high-risk industry safety experts and NHS risk managers, and investigating case studies of good practice, they developed a model to assess how ready NHS systems were to learn from incidents. This is known as Safety Action and Information Feedback from Incident Reporting (SAIFIR).
这项研究于 2006 年首次发表，研究人员调查了 NHS 组织在多大程度上试图利用从不良临床事件中收集到的信息，以及他们是否从中吸取了教训。通过研究全球现有的相关研究、采访专家、调查 NHS 组织（急症、社区和救护）、咨询医疗保健和其他高风险行业安全专家以及 NHS 风险经理，并调查良好实践案例研究，他们开发了一个评估 NHS 系统从事件中学习准备程度的模型。这被称为从事件报告中获取安全行动和信息反馈（SAIFIR）。
