Investigations, risk management and legal issues

Articles in this category

1. 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

   • 0 comments
   • 120 views
   • 
   • Added by Patient-Safety-Learning
   • 3 August

2. 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

   • 0 comments
   • 204 views
   • 
   • Added by Patient Safety Learning
   • 29 June

3. 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

   • 0 comments
   • 204 views
   • 
   • Added by Patient-Safety-Learning
   • 28 June

4. 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

   • 0 comments
   • 528 views
   • 
   • Added by Patient-Safety-Learning
   • 13 June

5. 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

   • 0 comments
   • 178 views
   • 
   • Added by Patient-Safety-Learning
   • 20 May

6. 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

   • 0 comments
   • 697 views
   • 
   • Added by Patient-Safety-Learning
   • 2 March

7. 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

   • 0 comments
   • 354 views
   • 
   • Added by SafeDavid3
   • 25 February

8. 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

   • 0 comments
   • 201 views
   • 
   • Added by SafeDavid3
   • 24 February

9. 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

   • 0 comments
   • 772 views
   • 
   • Added by Patient Safety Learning
   • 26 January

10. Learning from incidents in healthcare: the journey, not the arrival, matters (1 April 2016)

    • Patient safety incident
    • Reporting
    • (and 1 more)

      Tagged with:

      • Patient safety incident
      • Reporting
      • Policies / Protocols / Procedures

    By Becky T, 29 September, 2021

    • 1 comment
    • 731 views
    • 
    • Comment by richard vA
    • 14 December, 2021

11. Why error reporting systems should be voluntary (2000)

    • Human error
    • Reporting
    • (and 3 more)

      Tagged with:

      • Human error
      • Reporting
      • Doctor
      • Safety culture
      • Policies / Protocols / Procedures

    By Becky T, 26 September, 2021

    • 0 comments
    • 315 views
    • 
    • Added by Becky T
    • 26 September, 2021

12. Nursing Matters podcast: Patient safety – Learning from our mistakes (24 September 2021)

    • Patient safety incident
    • Organisational learning
    • (and 2 more)

      Tagged with:

      • Patient safety incident
      • Organisational learning
      • Nurse
      • Data

    By Patient Safety Learning, 24 September, 2021

    • 0 comments
    • 819 views
    • 
    • Added by Patient Safety Learning
    • 24 September, 2021

13. Confidential enquiry into the deaths of Asian and Asian British babies: joint letter to Nadine Dorries, MP (6 September 2021)

    • Investigation
    • Maternity
    • (and 5 more)

      Tagged with:

      • Investigation
      • Maternity
      • BAME
      • Baby
      • Patient death
      • Health inequalities
      • Health Disparities

    By Patient Safety Learning, 10 September, 2021

    • 0 comments
    • 689 views
    • 
    • Added by Patient Safety Learning
    • 10 September, 2021

14. Robbie Powell: Time for Truth, Justice and Accountability (Sharon Hartles, August 2021)

    • Patient death
    • Duty of Candour
    • (and 2 more)

      Tagged with:

      • Patient death
      • Duty of Candour
      • Accountability
      • Transparency

    By Mark Hughes, 17 August, 2021

    • 1 comment
    • 14,771 views
    • 
    • Comment by Steve Turner
    • 2 September, 2021

15. Action Against Medical Accidents (AvMA): What you need to know about AvMA

    • Patient
    • Patient harmed
    • (and 4 more)

      Tagged with:

      • Patient
      • Patient harmed
      • Complaint
      • Investigation
      • Legal issue
      • Patient / family involvement

    By Mark Hughes, 15 July, 2021

    • 0 comments
    • 458 views
    • 
    • Added by Mark Hughes
    • 15 July, 2021

16. Causes and conditions in patient safety

    • Investigation
    • Just Culture

    By PatientSafetyLearning Team, 18 June, 2021

    • 0 comments
    • 546 views
    • 
    • Added by PatientSafetyLearning Team
    • 18 June, 2021

17. Once for Wales Concerns Management System

    • Patient safety incident
    • Quality improvement
    • (and 5 more)

      Tagged with:

      • Patient safety incident
      • Quality improvement
      • Complaint
      • Digital health
      • Legal issue
      • Risk management
      • Reporting

    By Patient Safety Learning, 20 April, 2021

    • 0 comments
    • 745 views
    • 
    • Added by Patient Safety Learning
    • 20 April, 2021

18. First Global Patient Safety Network Webinar 2021 - Patient safety incident reporting and learning systems (5 March 2021)

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

      Tagged with:

      • Patient safety incident
      • Reporting
      • Organisational learning
      • Quality improvement

    By Patient Safety Learning, 15 April, 2021

    • 0 comments
    • 462 views
    • 
    • Added by Patient Safety Learning
    • 15 April, 2021

19. HSE: Reporting accidents, incidents and diseases (10 October 2015)

    • Reporting
    • Safety report
    • (and 1 more)

      Tagged with:

      • Reporting
      • Safety report
      • Legal issue

    By Becky T, 22 September, 2020

    • 0 comments
    • 452 views
    • 
    • Added by Becky T
    • 22 September, 2020

20. What Never Events on PHIN's website can tell you about hospitals (2 September 2020)

    • Never event
    • Checklists
    • (and 2 more)

      Tagged with:

      • Never event
      • Checklists
      • Patient
      • Private sector

    By Patient Safety Learning, 9 September, 2020

    • 0 comments
    • 593 views
    • 
    • Added by Patient Safety Learning
    • 9 September, 2020

21. “I’m going to Datix you”

    • Patient safety incident
    • Reporting
    • (and 3 more)

      Tagged with:

      • Patient safety incident
      • Reporting
      • Software
      • Culture of fear
      • Organisational culture

    By Jonathan, 7 September, 2020

    • 2 comments
    • 15,229 views
    • 
    • Comment by Sam
    • 25 September, 2020

22. Private Healthcare Information Network: Publication of provisional Never Events for the reporting period 1st January 2019 and 31st December 2019

    • Never event
    • Private sector

    By Patient Safety Learning, 3 September, 2020

    • 0 comments
    • 687 views
    • 
    • Added by Patient Safety Learning
    • 3 September, 2020

23. Patient Safety Learning: Confusion over PPE guidance poses a patient safety risk (27 August 2020)

    • PPE (personal Protective Equipment)
    • Virus
    • (and 3 more)

      Tagged with:

      • PPE (personal Protective Equipment)
      • Virus
      • Pandemic
      • Care home
      • Recommendations

    By Patient Safety Learning, 1 September, 2020

    • 0 comments
    • 563 views
    • 
    • Added by Patient Safety Learning
    • 1 September, 2020

24. RCN: Top 10 tips for statement writing

    • Staff support
    • Investigation
    • (and 2 more)

      Tagged with:

      • Staff support
      • Investigation
      • Reporting
      • Nurse

    By PatientSafetyLearning Team, 26 August, 2020

    • 0 comments
    • 2,309 views
    • 
    • Added by PatientSafetyLearning Team
    • 26 August, 2020

25. The importance of near miss reporting

    • Reporting
    • Near miss

    By Claire Cox, 4 August, 2020

    • 0 comments
    • 460 views
    • 
    • Added by Claire Cox
    • 4 August, 2020