The r eported dataset is used to look at patterns in reporting such as

The r eported dataset is used to look at patterns in

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the same. The r eported dataset’ is used to look at patterns in reporting, such as frequency and timeliness. It contains incidents reported to the NRLS within a specified time period. It may include incidents that occurred a long time before they were reported.
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8 | > Guidance notes on NRLS official statistics publications The ‘occurring dataset’ is used to look at patient safety incident characteristics. It contains incidents reported as actually taking place in a specific time period. This dataset reflects seasonality in when incidents occur; analysis based on this dataset may be biased by fluctuation in numbers over time due to reporting delays. Comparability over time All of the factors discussed above in relation to bias affect how NRLS data is interpreted over time. In general, reporting is increasing over time. This is a positive finding as it reflects a maturing of the reporting culture and maximises the potential for learning. However, it can be difficult to disentangle patterns in specific incidents from the general trend of increased reporting. Therefore, when reviewing changes over time, we recommend users: use proportions or percentages rather than actual numbers (to allow for the differences in the underlying numbers of incidents) either use the same time period for the previous year or a full year ’s worth of data (to take seasonality into account) check that any ‘c hange/difference ’ is not due to new/amended national mandatory reporting requirements or local organisational restructuring consider that reporting delay and reporting seasonality may influence any apparent dips in reports for more recent periods. Understanding the degree of harm of patient safety incidents The degree of harm reported to the NRLS should record the actual degree of harm suffered by the patient as a direct result of the patient safety incident. However, this is not always the case. Sometimes reporters give the potential degree of harm of an incident instead. For example, the resulting degree of harm is occasionally coded as severe for near misse s’ where no harm resulted as the impact was prevented. Reporters may also code the degree of harm a s ‘ severe when the patient is expected to suffer severe but temporary harm (eg severe bruising), which conflicts
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9 | > Guidance notes on NRLS official statistics publications with the NRLS definition of significant and permanent harm (see below). For some incidents, particularly those affecting patients with multiple co-morbidities or those near the end of their life, it may be difficult to determine at the time of reporting if the level of harm recorded was a direct result of the patient safety incident. There are five NRLS codes for the degree of harm: no harm a situation where no harm occurred: either a prevented patient safety incident or a no harm incident low harm any unexpected or unintended incident that required extra observation or minor treatment and caused minimal harm to one or more persons moderate harm any unexpected or unintended incident that resulted in
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  • Spring '19
  • Abdelghani
  • Statistics, National Health Service, NRLS

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