Investigations, risk management and legal issues

Articles in this category

1. HSIB blog: New opportunities for risk management (10 January 2023)

   • Risk management
   • Clinical governance
   • (and 3 more)

     Tagged with:

     • Risk management
     • Clinical governance
     • Resources / Organisational management
     • Integrated Care System (ICS)
     • System safety

   By Patient-Safety-Learning, 12 January

   • 0 comments
   • 107 views
   • 
   • Added by Patient-Safety-Learning
   • 12 January

2. Common Sense Common Safety (HM Government, October 2010)

   • Legal issue
   • System safety

   By Patient_Safety_Learning, 17 December, 2022

   • 0 comments
   • 62 views
   • 
   • Added by Patient_Safety_Learning
   • 17 December, 2022

3. HSIB blog - New Chair of the HSSIB formally appointed (1 December 2022)

   • Leadership
   • Investigation
   • (and 1 more)

     Tagged with:

     • Leadership
     • Investigation
     • England

   By Patient-Safety-Learning, 1 December, 2022

   • 0 comments
   • 118 views
   • 
   • Added by Patient-Safety-Learning
   • 1 December, 2022

4. Shared insights: The Patient Safety Incident Response Framework (8 November 2022)

   • PSIRF
   • Coroner
   • (and 5 more)

     Tagged with:

     • PSIRF
     • Coroner
     • Patient engagement
     • System safety
     • Accountability
     • Transparency
     • Legal issue

   By Patient-Safety-Learning, 28 November, 2022

   • 3 comments
   • 639 views
   • 
   • Comment by Cath Marsland
   • 23 December, 2022

5. Investigation into financial conflicts of interest and screening for atrial fibrillation in the UK: a cross-sectional study (10 October 2022)

   • Transparency
   • Organisational culture
   • (and 4 more)

     Tagged with:

     • Transparency
     • Organisational culture
     • Screening
     • Recommendations
     • Investigation
     • UK

   By Patient-Safety-Learning, 28 November, 2022

   • 0 comments
   • 89 views
   • 
   • Added by Patient-Safety-Learning
   • 28 November, 2022

6. Mesh News Desk - Strattice hernia mesh trial preparation underway (17 October 2022)

   • Surgery - General
   • Medical device
   • (and 4 more)

     Tagged with:

     • Surgery - General
     • Medical device
     • Patient harmed
     • Legal issue
     • Complaint
     • USA

   By Patient-Safety-Learning, 1 November, 2022

   • 0 comments
   • 220 views
   • 
   • Added by Patient-Safety-Learning
   • 1 November, 2022

7. Why healthcare needs to operate as a safety management system: In conversation with Keith Conradi

   • Leadership
   • System safety
   • (and 8 more)

     Tagged with:

     • Leadership
     • System safety
     • Safety process
     • Safety management
     • Investigation
     • Patient harmed
     • Patient / family involvement
     • Organisational culture
     • Organisational learning
     • Aviation

   By Patient Safety Learning, 24 October, 2022

   • 0 comments
   • 1,392 views
   • 
   • Added by Patient Safety Learning
   • 24 October, 2022

8. AvMA case study: Mr B's story

   • Cancer
   • Human error
   • (and 7 more)

     Tagged with:

     • Cancer
     • Human error
     • Patient death
     • Patient suffering
     • Pain
     • Medicine - Oncology
     • Surgery - General
     • Legal issue
     • Investigation

   By Patient-Safety-Learning, 5 October, 2022

   • 0 comments
   • 167 views
   • 
   • Added by Patient-Safety-Learning
   • 5 October, 2022

9. AvMA case study: Baby E's story

   • Maternity
   • Labour
   • (and 7 more)

     Tagged with:

     • Maternity
     • Labour
     • Staff factors
     • Additional staff required
     • Midwife
     • Monitoring
     • Patient death
     • Baby
     • Coroner

   By Patient-Safety-Learning, 4 October, 2022

   • 0 comments
   • 129 views
   • 
   • Added by Patient-Safety-Learning
   • 4 October, 2022

10. HSIB blog - PSIRF: a fundamental shift in how the NHS responds to patient safety incidents (26 September 2022)

    • PSIRF
    • Patient safety incident
    • (and 2 more)

      Tagged with:

      • PSIRF
      • Patient safety incident
      • Innovation
      • Organisational culture

    By Patient-Safety-Learning, 4 October, 2022

    • 0 comments
    • 450 views
    • 
    • Added by Patient-Safety-Learning
    • 4 October, 2022

11. AvMA case study: K's story

    • Medicine - Respiratory
    • Diagnostic error
    • (and 6 more)

      Tagged with:

      • Medicine - Respiratory
      • Diagnostic error
      • Care record
      • Electronic Health Record
      • Patient death
      • Coroner
      • Older People (over 65)
      • Chronic obstructive pulmonary disease

    By Patient-Safety-Learning, 30 September, 2022

    • 0 comments
    • 140 views
    • 
    • Added by Patient-Safety-Learning
    • 30 September, 2022

12. AvMA case study: M's story

    • Asthma
    • Children and Young People
    • (and 5 more)

      Tagged with:

      • Asthma
      • Children and Young People
      • Patient death
      • Prescribing
      • Human error
      • GP
      • Coroner

    By Patient-Safety-Learning, 29 September, 2022

    • 0 comments
    • 141 views
    • 
    • Added by Patient-Safety-Learning
    • 29 September, 2022

13. AvMA case study: Glyn's story

    • Legal issue
    • Patient death
    • (and 5 more)

      Tagged with:

      • Legal issue
      • Patient death
      • Pneumonia
      • Disability
      • Transparency
      • Autism
      • Organisational learning

    By Patient-Safety-Learning, 27 September, 2022

    • 0 comments
    • 200 views
    • 
    • Added by Patient-Safety-Learning
    • 27 September, 2022

14. AvMA case study: Richard's story

    • Medicine - Palliative
    • End of life care
    • (and 5 more)

      Tagged with:

      • Medicine - Palliative
      • End of life care
      • Older People (over 65)
      • Medication
      • Pain
      • Patient death
      • Coroner

    By Patient-Safety-Learning, 27 September, 2022

    • 0 comments
    • 133 views
    • 
    • Added by Patient-Safety-Learning
    • 27 September, 2022

15. AvMA case study: Ruth's story

    • Maternity
    • Patient harmed
    • (and 3 more)

      Tagged with:

      • Maternity
      • Patient harmed
      • Baby
      • Legal issue
      • Disability

    By Patient-Safety-Learning, 6 September, 2022

    • 0 comments
    • 138 views
    • 
    • Added by Patient-Safety-Learning
    • 6 September, 2022

16. HSIB blog - Integrating restorative justice into patient safety investigation (29 July 2022)

    • Restorative Justice
    • Investigation
    • (and 3 more)

      Tagged with:

      • Restorative Justice
      • Investigation
      • Patient harmed
      • Patient engagement
      • Second victim

    By Patient-Safety-Learning, 3 August, 2022

    • 0 comments
    • 281 views
    • 
    • Added by Patient-Safety-Learning
    • 3 August, 2022

17. General Pharmaceutical Council. Keeping patients safe: being open and honest when things go wrong

    • Pharmacist
    • Duty of Candour
    • (and 3 more)

      Tagged with:

      • Pharmacist
      • Duty of Candour
      • Transparency
      • Patient safety incident
      • Investigation

    By Patient Safety Learning, 29 June, 2022

    • 0 comments
    • 389 views
    • 
    • Added by Patient Safety Learning
    • 29 June, 2022

18. Blog - Patient Safety Never Events in the NHS (16 June 2022)

    • Never event
    • Data
    • (and 3 more)

      Tagged with:

      • Never event
      • Data
      • Safety report
      • Patient harmed
      • UK

    By Patient-Safety-Learning, 28 June, 2022

    • 0 comments
    • 362 views
    • 
    • Added by Patient-Safety-Learning
    • 28 June, 2022

19. Bodies of Evidence: The Butcher Surgeon (12 June 2022)

    • Cancer
    • Patient harmed
    • (and 4 more)

      Tagged with:

      • Cancer
      • Patient harmed
      • Surgery - General
      • Legal issue
      • Patient safety incident
      • Investigation

    By Patient-Safety-Learning, 13 June, 2022

    • 0 comments
    • 786 views
    • 
    • Added by Patient-Safety-Learning
    • 13 June, 2022

20. Letter - The Patient Safety Movement Foundation admonishes the criminalization of medical errors (6 April 2022)

    • Nurse
    • Legal issue
    • (and 7 more)

      Tagged with:

      • Nurse
      • Legal issue
      • Accountability
      • USA
      • System safety
      • Organisational learning
      • Speaking up
      • Staff safety
      • Just Culture

    By Patient-Safety-Learning, 20 May, 2022

    • 0 comments
    • 296 views
    • 
    • Added by Patient-Safety-Learning
    • 20 May, 2022

21. Westminster Confidential: Judge covers up “avoidable death” of heart patient and General Medical Council revalidation of Dr Usha Prasad to dismiss her whistleblowing case (13 March 2022)

    • Whistleblowing
    • Patient harmed
    • (and 3 more)

      Tagged with:

      • Whistleblowing
      • Patient harmed
      • Legal issue
      • Transparency
      • Investigation

    By Patient Safety Learning, 21 April, 2022

    • 0 comments
    • 70 views
    • 
    • Added by Patient Safety Learning
    • 21 April, 2022

22. Registration and management of 'Never Events' in Swiss hospitals—the perspective of clinical risk managers (December 2021)

    • Never event
    • Switzerland
    • (and 3 more)

      Tagged with:

      • Never event
      • Switzerland
      • Risk management
      • Patient safety / risk management leads
      • Patient safety incident

    By Patient-Safety-Learning, 2 March, 2022

    • 0 comments
    • 874 views
    • 
    • Added by Patient-Safety-Learning
    • 2 March, 2022

23. Open letter to the Rt Hon Jeremy Hunt MP: 'Coronavirus Lessons Learned Inquiry' – a missed opportunity

    • PPE (personal Protective Equipment)
    • Infection control
    • (and 6 more)

      Tagged with:

      • PPE (personal Protective Equipment)
      • Infection control
      • Staff safety
      • Virus
      • Pandemic
      • Investigation
      • Legal issue
      • Regulatory issue

    By SafeDavid3, 25 February, 2022

    • 0 comments
    • 575 views
    • 
    • Added by SafeDavid3
    • 25 February, 2022

24. COVID-19: Witness evidence submitted to the Commons Select Committee

    • PPE (personal Protective Equipment)
    • Infection control
    • (and 6 more)

      Tagged with:

      • PPE (personal Protective Equipment)
      • Infection control
      • Staff safety
      • Virus
      • Pandemic
      • Investigation
      • Legal issue
      • Regulatory issue

    By SafeDavid3, 24 February, 2022

    • 0 comments
    • 310 views
    • 
    • Added by SafeDavid3
    • 24 February, 2022

25. Special Health Authority for Independent Maternity Investigations: Statement from Sajid Javid (26 January 2022)

    • Investigation
    • Maternity
    • (and 6 more)

      Tagged with:

      • Investigation
      • Maternity
      • Patient safety incident
      • Patient safety strategy
      • Collaboration
      • Patient / family involvement
      • Organisational learning
      • Patient harmed

    By Patient Safety Learning, 26 January, 2022

    • 0 comments
    • 971 views
    • 
    • Added by Patient Safety Learning
    • 26 January, 2022