error/near miss they saw (2004 survey data, regression coefficient 0.04, 95% CI 0.01 to 0.06, p = 0.005, 2005 survey data, regression coefficient 0.04, 95% CI 0.01 to 0.07, p = 0.015). There was an additional correlation in the 2005 data in which as the number of staff indicating that they had a moving and handling injury increased there was a decrease in the number of reported overall incidents per 100 bed days per year (correlation coefficient 95% CI -0.090 to -0.002, p = 0.041). A similar non-significant trend was found in the 2004 data. The NHS Litigation Authority (NHSLA)[19] conducts risk management assessments within hospitals. Organisations can choose whether to be assessed for Level 1, 2 or 3, with Level 3 being the highest (Table 4), and receive a financial incentive for achieving a higher Level. We explored the relationship between reporting rates and NHSLA risk management ratings. The 10 hospitals achieving Level 3 had significantly higher reporting rates than hospitals at Level 1 or 2 (Table 4), although there was no significant difference in reporting rates between hospitals at Levels 1 and 2. Table 4: Relationship between reporting rates and NHS Litigation Authority (NHSLA) risk management ratings NHSLA risk Interpretation of Number of Mean Significant management ratings hospitals reporting rate differences in rating per 100 bed reporting days (95% CI) rates Level 0 Not achieved Level 1 1 3.89 (n/a) Between Level 1 Effective risk 88 0.82 Levels 1 management (0.68 to 0.96) and 3: p = systems and 0.026 processes Between established Levels 2 and 3: p = Level 2 Systems described 49 0.84 0.037 for Level 1 have (0.61 to 1.06) been implemented Level 3 Organisation is 10 1.36 monitoring (1.06 to 1.66) compliance with systems and acting on findings n/a not applicable – Relationship between reporting rates and other safety and quality data
error/near miss they saw (2004 survey data, regression coefficient 0.04, 95% CI 0.01 to 0.06, p = 0.005, 2005 survey data, regression coefficient 0.04, 95% CI 0.01 to 0.07, p = 0.015). There was an additional correlation in the 2005 data in which as the number of staff indicating that they had a moving and handling injury increased there was a decrease in the number of reported overall incidents per 100 bed days per year (correlation coefficient 95% CI -0.090 to -0.002, p = 0.041). A similar non-significant trend was found in the 2004 data. The NHS Litigation Authority (NHSLA)[19] conducts risk management assessments within hospitals. Organisations can choose whether to be assessed for Level 1, 2 or 3, with Level 3 being the highest (Table 4), and receive a financial incentive for achieving a higher Level. We explored the relationship between reporting rates and NHSLA risk management ratings. The 10 hospitals achieving Level 3 had significantly higher reporting rates than hospitals at Level 1 or 2 (Table 4), although there was no significant difference in reporting rates between hospitals at Levels 1 and 2. Table 4: Relationship between reporting rates and NHS Litigation Authority (NHSLA) risk management ratings NHSLA risk management rating Interpretation of ratings Number of hospitals Mean reporting rate per 100 bed days (95% CI) Significant differences in reporting rates Level 0 Not achieved Level 1 1 3.89 (n/a) Between Levels 1 and 3: p = 0.026 Between Levels 2 and 3: p = 0.037 Level 1 Effective risk management systems and processes established 88 0.82 (0.68 to 0.96) Level 2 Systems described for Level 1 have been implemented 49 0.84 (0.61 to 1.06) Level 3 Organisation is monitoring compliance with systems and acting on findings 10 1.36 (1.06 to 1.66) n/a – not applicable Relationship between reporting rates and other safety and quality data
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