Serious incident investigations being conducted on a ‘business as usual’ basis; all learning is routinely being identified and shared and there is evidence that this is driving improvements in care.
Ymchwiliadau effeithiol yn cael eu cynnal ar sail 'busnes fel arfer'; yr holl wersi a ddysgir yn cael eu nodi a'u rhannu fel mater o drefn, ac mae tystiolaeth bod hyn yn ysgogi gwelliannau mewn gofal.