Investigations and complaints

Articles in this category

1. Radar Healthcare's White paper: Incident Reporting in Secondary Care (27 October 2022)

   • Patient safety incident
   • Patient harmed
   • (and 7 more)

     Tagged with:

     • Patient safety incident
     • Patient harmed
     • Reporting
     • Investigation
     • Staff support
     • Research
     • Organisational culture
     • Safety management
     • System safety

   By Patient Safety Learning, 22 November, 2022

   • 0 comments
   • 402 views
   • 
   • Added by Patient Safety Learning
   • 22 November, 2022

2. Blog - PSIRF and the HSIB: supporting how the NHS responds to patient safety incidents (9 November 2022)

   • Investigation
   • Complaint
   • (and 5 more)

     Tagged with:

     • Investigation
     • Complaint
     • PSIRF
     • Patient engagement
     • Patient / family support
     • Organisational culture
     • Implementation

   By Patient-Safety-Learning, 10 November, 2022

   • 0 comments
   • 110 views
   • 
   • Added by Patient-Safety-Learning
   • 10 November, 2022

3. NHS England - PSIRF Early Adopter interview: Acute healthcare provider perspective (15 August 2022)

   • PSIRF
   • Innovation
   • (and 5 more)

     Tagged with:

     • PSIRF
     • Innovation
     • Teamwork
     • Collaboration
     • Patient engagement
     • Staff engagement
     • Investigation

   By Patient-Safety-Learning, 9 November, 2022

   • 0 comments
   • 108 views
   • 
   • Added by Patient-Safety-Learning
   • 9 November, 2022

4. NHS England - PSIRF Early Adopter interview: Patient safety incident investigator perspective (15 August 2022)

   • PSIRF
   • Investigation
   • (and 5 more)

     Tagged with:

     • PSIRF
     • Investigation
     • Collaboration
     • Patient engagement
     • Transparency
     • Staff engagement
     • Team culture

   By Patient-Safety-Learning, 3 November, 2022

   • 0 comments
   • 97 views
   • 
   • Added by Patient-Safety-Learning
   • 3 November, 2022

5. Video: Introducing the Patient Safety Incident Response Framework (PSIRF) - A framework for learning (NHS England)

   • PSIRF
   • Investigation
   • (and 4 more)

     Tagged with:

     • PSIRF
     • Investigation
     • Recommendations
     • Organisational learning
     • System safety
     • Patient safety incident

   By Patient Safety Learning, 28 October, 2022

   • 0 comments
   • 158 views
   • 
   • Added by Patient Safety Learning
   • 28 October, 2022

6. Should “safe space” material be kept confidential? (BMJ, 20 September 2022)

   • Patient harmed
   • Investigation
   • (and 5 more)

     Tagged with:

     • Patient harmed
     • Investigation
     • Speaking up
     • Staff support
     • Staff safety
     • Patient safety incident
     • Legal issue

   By Patient Safety Learning, 22 September, 2022

   • 0 comments
   • 161 views
   • 
   • Added by Patient Safety Learning
   • 22 September, 2022

7. A content analysis of contributory factors reported in serious incident investigation reports in hospital care (August 2022)

   • Research
   • Patient safety incident
   • (and 4 more)

     Tagged with:

     • Research
     • Patient safety incident
     • Investigation
     • Human error
     • Human factors
     • System safety

   By Patient Safety Learning, 21 September, 2022

   • 0 comments
   • 371 views
   • 
   • Added by Patient Safety Learning
   • 21 September, 2022

8. Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: A review of the qualitative evidence (2 August 2022)

   • Patient engagement
   • Patient / family involvement
   • (and 4 more)

     Tagged with:

     • Patient engagement
     • Patient / family involvement
     • Investigation
     • Research
     • Patient safety incident
     • Qualitative

   By Patient Safety Learning, 20 September, 2022

   • 0 comments
   • 182 views
   • 
   • Added by Patient Safety Learning
   • 20 September, 2022

9. New Patient Safety Incident Response Framework (PSIRF) published by NHS England: a fundamental shift in the investigation of patient safety incidents

   • PSIRF
   • Investigation
   • (and 3 more)

     Tagged with:

     • PSIRF
     • Investigation
     • Legal issue
     • Patient / family support
     • England

   By Patient-Safety-Learning, 1 September, 2022

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

10. Letter from Aiden Fowler - Introduction of the Patient Safety Incident Response Framework (16 August 2022)

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

      Tagged with:

      • PSIRF
      • Patient safety incident
      • Investigation
      • Patient engagement
      • England

    By Patient-Safety-Learning, 1 September, 2022

    • 0 comments
    • 247 views
    • 
    • Added by Patient-Safety-Learning
    • 1 September, 2022

11. NHS England: Patient safety learning response toolkit (16 August 2022)

    • Investigation
    • PSIRF
    • (and 4 more)

      Tagged with:

      • Investigation
      • PSIRF
      • Human factors
      • Patient safety incident
      • Organisational learning
      • After action review

    By Mark Hughes, 30 August, 2022

    • 0 comments
    • 363 views
    • 
    • Added by Mark Hughes
    • 30 August, 2022

12. Patient Safety Incident Response Framework

    • Crisis response
    • Investigation
    • (and 4 more)

      Tagged with:

      • Crisis response
      • Investigation
      • PSIRF
      • Patient safety incident
      • Organisational culture
      • Organisational learning

    By PatientSafetyLearning Team, 16 August, 2022

    • 0 comments
    • 3,481 views
    • 
    • Added by PatientSafetyLearning Team
    • 16 August, 2022

13. CQC duty of candour guidance - Regulation 20 (updated 30 June 2022)

    • Duty of Candour
    • Investigation
    • (and 5 more)

      Tagged with:

      • Duty of Candour
      • Investigation
      • Patient safety incident
      • England
      • Transparency
      • Organisational culture
      • Regulatory issue

    By Patient-Safety-Learning, 11 July, 2022

    • 0 comments
    • 1,144 views
    • 
    • Added by Patient-Safety-Learning
    • 11 July, 2022

14. HSIB: Blog - Knowledge exchange with Norway (28 June 2022)

    • Investigation
    • Information sharing
    • (and 1 more)

      Tagged with:

      • Investigation
      • Information sharing
      • Europe

    By Mark Hughes, 5 July, 2022

    • 1 comment
    • 467 views
    • 
    • Comment by richard vA
    • 25 July, 2022

15. Podcast: The Coroner – Part 1 (The Faculty of Intensive Care Medicine, June 2022)

    • Investigation
    • Coroner
    • (and 3 more)

      Tagged with:

      • Investigation
      • Coroner
      • Coroner reports
      • Legal issue
      • ICU/ ITU/ HDU

    By Patient Safety Learning, 1 July, 2022

    • 0 comments
    • 440 views
    • 
    • Added by Patient Safety Learning
    • 1 July, 2022

16. Coroners statistics 2021: England and Wales (12 May 2022)

    • Coroner
    • Data
    • (and 2 more)

      Tagged with:

      • Coroner
      • Data
      • Patient death
      • Investigation

    By Patient Safety Learning, 28 June, 2022

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

17. Worth the paper it’s written on? A cross-sectional study of Medical Certificate of Stillbirth accuracy in the UK (20 June 2022)

    • Baby
    • Patient death
    • (and 4 more)

      Tagged with:

      • Baby
      • Patient death
      • Data
      • Transparency
      • Research
      • Organisational learning

    By Patient Safety Learning, 21 June, 2022

    • 0 comments
    • 301 views
    • 
    • Added by Patient Safety Learning
    • 21 June, 2022

18. Professional duty of candour – Guidance for radiologists (7 June 2022)

    • Duty of Candour
    • Radiologist
    • (and 2 more)

      Tagged with:

      • Duty of Candour
      • Radiologist
      • Radiology
      • UK

    By Patient-Safety-Learning, 20 June, 2022

    • 0 comments
    • 395 views
    • 
    • Added by Patient-Safety-Learning
    • 20 June, 2022

19. Patient safety incident response: A new era of safety learning in the NHS? (1 February 2022)

    • PSIRF
    • Patient safety incident
    • (and 4 more)

      Tagged with:

      • PSIRF
      • Patient safety incident
      • Investigation
      • Recommendations
      • Organisational culture
      • Organisational learning

    By Patient Safety Learning, 8 June, 2022

    • 0 comments
    • 171 views
    • 
    • Added by Patient Safety Learning
    • 8 June, 2022

20. NHS Resolution: Duty of candour animation (30 March 2022)

    • Investigation
    • Patient safety incident
    • (and 5 more)

      Tagged with:

      • Investigation
      • Patient safety incident
      • Duty of Candour
      • Patient / family involvement
      • Patient / family support
      • Communication
      • Transparency

    By Patient Safety Learning, 4 April, 2022

    • 0 comments
    • 602 views
    • 
    • Added by Patient Safety Learning
    • 4 April, 2022

21. The Duty of Candour (Health and Care Professions Council)

    • Duty of Candour
    • Patient harmed
    • (and 5 more)

      Tagged with:

      • Duty of Candour
      • Patient harmed
      • Patient / family involvement
      • Skills
      • Legal issue
      • Investigation
      • Communication

    By Patient Safety Learning, 15 February, 2022

    • 0 comments
    • 285 views
    • 
    • Added by Patient Safety Learning
    • 15 February, 2022

22. Bleed Out: HBO documentary (2018)

    • Relative
    • Patient harmed
    • (and 5 more)

      Tagged with:

      • Relative
      • Patient harmed
      • Investigation
      • USA
      • Patient safety incident
      • Patient / family involvement
      • Contributing factor

    By Patient Safety Learning, 17 January, 2022

    • 0 comments
    • 532 views
    • 
    • Added by Patient Safety Learning
    • 17 January, 2022

23. Independent Investigations 2019/21 Annual Report (December 2021)

    • Investigation
    • Mental health

    By Patient-Safety-Learning, 10 January, 2022

    • 0 comments
    • 232 views
    • 
    • Added by Patient-Safety-Learning
    • 10 January, 2022

24. NHS podcast: Update on the Patient Safety Incident Response Framework (February 2022)

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

      Tagged with:

      • Patient safety incident
      • Patient safety strategy
      • Investigation
      • Policies

    By Patient Safety Learning, 2 January, 2022

    • 0 comments
    • 571 views
    • 
    • Added by Patient Safety Learning
    • 2 January, 2022

25. The duty of candour: guidance for providers (CQC)

    • Duty of Candour
    • Patient / family support
    • (and 4 more)

      Tagged with:

      • Duty of Candour
      • Patient / family support
      • Patient / family involvement
      • Regulatory issue
      • Transparency
      • Patient safety incident

    By Patient Safety Learning, 1 January, 2022

    • 0 comments
    • 262 views
    • 
    • Added by Patient Safety Learning
    • 1 January, 2022