Learn: Investigations, risk management and legal issues

Do patient safety incident investigations align with systems thinking? An analysis of contributing factors and recommendations (12 September 2025)

Mon, 03 Aug 2026 09:04:00 +0000

A child’s preventable death should guarantee meaningful learning - so why does it so often fail to? (By Corinne Cope, mother of Dylan, who died aged 9)

Mon, 13 Jul 2026 11:36:57 +0000

The Hazard and Operability Study (HAZOP) in clinical settings

Thu, 28 May 2026 07:02:02 +0000

Accountability, and what it means to bereaved families and harmed patients (by Corinne Cope)

Wed, 22 Apr 2026 10:27:26 +0000

The Deteriorating Patient - Clinical scenario to support SEIPS training (13 June 2024)

Fri, 29 Aug 2025 09:29:00 +0000

The Misplaced Nasogastric Tube - Clinical scenario to support SEIPS training (13 June 2024)

Fri, 29 Aug 2025 09:23:00 +0000

Failing to learn? The NHS is losing its capacity for system-wide safety investigation (11 August 2025)

Fri, 22 Aug 2025 07:58:00 +0000

Why patient safety demands a Hillsborough Law with a legal duty of candour for all health and care professionals

Tue, 12 Aug 2025 07:09:02 +0000

US Government sues pharmacy chains CVS and Walgreens for their alleged role in the opioid epidemic (7 March 2025)

Sun, 16 Mar 2025 09:39:02 +0000

DHSC: Investigating healthcare incidents where suspected criminal activity may have contributed to death or serious life-changing harm (17 December 2024)

Tue, 04 Feb 2025 13:32:02 +0000

NHS England: National Patient Recall Framework (1 June 2022)

Thu, 03 Oct 2024 11:21:00 +0000

National medical examiner annual report 2023

Mon, 09 Sep 2024 09:55:00 +0000

What is the point of inquiries? (BMJ, 27 August 2024)

Fri, 30 Aug 2024 14:51:00 +0000

10 key principles for investigation (HSSIB, July 2024)

Tue, 23 Jul 2024 12:00:00 +0000

Effects of a systems approach in occurrence investigations (2024)

Tue, 28 May 2024 12:35:44 +0000

“Accountability is important, but that can only come when you get to the truth.” An interview with Will Powell, father of Robbie

Wed, 22 May 2024 10:37:34 +0000

Inside the opaque world of IVF, where errors are rarely made public (28 April 2024)

Mon, 29 Apr 2024 14:18:30 +0000

Why it made sense at the time: Local rationality questions for healthcare investigations (24 January 2024)

Mon, 05 Feb 2024 17:02:29 +0000

Medical examiners in England: draft regulations (14 December 2023)

Wed, 17 Jan 2024 16:46:08 +0000

Mistakes and 'mafia-like' culture at NHS Trust (BBC Newsnight, 29 November 2023)

Thu, 30 Nov 2023 09:40:00 +0000

Learning from deaths: Using the structured judgement review (SJR) methodology (GHNHSFT, 2018)

Mon, 10 Jul 2023 11:54:00 +0000

Podcast: Dr Bill Kirkup on patient safety and investigating avoidable harms (27 June 2023)

Mon, 03 Jul 2023 15:11:32 +0000

Department of Health factsheet: Health Service Safety Investigations Body

Fri, 28 Apr 2023 11:04:24 +0000

A changing view on patient safety: how the Healthcare Safety Investigation Branch has brought system-focused investigations to the fore (Ted Baker, 31 March 2023)

Wed, 05 Apr 2023 10:22:50 +0000

Just a cup of tea – An introduction to the SEIPS framework (21 March 2023)

Fri, 24 Mar 2023 09:44:00 +0000