These are known as patient safety incidents.

new approach, called the Patient Safety Incident Review Framework (PSIRF) is being introduced and will focus on:

  • compassionate engagement and involvement of patients, their loved ones and staff
  • new approaches to learning that look for all the complicated issues that are combining to cause risks
  • considered and proportionate responses when things go wrong
  • continuing to learn and evolve over future years.

NHS England video