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Safety first: around a half of incidents in which NHS hospital patients are unintentionally harmed can be avoided if lessons from previous incidents are learned, according to a report published last month by the National Audit Office (NAO). Reporting has improved at local level, the NAO finds, but progress on developing a national reporting and learning system has been slower than planned. According to the report, A Safer Place for Patients: Learning to improve patient safety, the most common incidents reported were: patient injury due to falls, medication errors, equipment related incidents, record documentation error and communication failure.