A Promise to Learn – A Commitment to Act: Improving the Safety of Patients in England. London: The National Advisory Group on the Safety of Patients in England; 2013.
An independent group of experts in quality improvement, patient safety, and organizational and systems theories was chartered to review issues that compromise patient safety in England’s National Health Service (NHS), following events that led to serious lapses in patient care at Mid Staffordshire Hospitals. The group’s report includes ten recommendations for the NHS to address underlying causes of unsafe care at Mid Staffordshire and other patient safety issues that could lead to harm elsewhere in the NHS. These recommendations to improve systems, safety, and culture in the NHS are broadly applicable to other health care institutions and settings.