Investigations and complaints

Articles in this category

1. Bernard Jenkin MP: In healthcare, as elsewhere, people make mistakes. The important thing is to learn why (Civil Service World, 19 October 2023)

   • Investigation
   • Patient harmed
   • (and 2 more)

     Tagged with:

     • Investigation
     • Patient harmed
     • Regulatory issue
     • Speaking up

   By Mark Hughes, 27 October

   • 0 comments
   • 186 views
   • 
   • Added by Mark Hughes
   • 27 October

2. From the exit door of HSIB: Challenging feedback and a health warning for patients and families

   • Investigation
   • Patient harmed
   • (and 11 more)

     Tagged with:

     • Investigation
     • Patient harmed
     • Regulatory issue
     • Patient / family support
     • Patient / family involvement
     • Patient engagement
     • Speaking up
     • Whistleblowing
     • Harmed Care Pathway
     • Transparency
     • Leadership
     • Collaboration
     • Restorative Justice

   By richard vA, 12 October

   • 10 comments
   • 1,529 views
   • 
   • Comment by richard vA
   • 23 November

3. Patient Safety Incident Investigation patient and family guide (Bradford Teaching Hospital, 2 June 2023)

   • Investigation
   • Patient
   • (and 4 more)

     Tagged with:

     • Investigation
     • Patient
     • Patient engagement
     • Patient / family support
     • Collaboration
     • PSIRF

   By Patient-Safety-Learning, 4 September

   • 0 comments
   • 154 views
   • 
   • Added by Patient-Safety-Learning
   • 4 September

4. How do we know if a death was preventable? (Preventable Deaths Tracker, 31 March 2023)

   • Coroner
   • Patient death
   • (and 3 more)

     Tagged with:

     • Coroner
     • Patient death
     • Investigation
     • Flawed processes
     • Organisational learning

   By Patient-Safety-Learning, 3 April

   • 0 comments
   • 352 views
   • 
   • Added by Patient-Safety-Learning
   • 3 April

5. Peter Seaby’s 2nd inquest (February 2023)

   • Coroner
   • Social care
   • (and 4 more)

     Tagged with:

     • Coroner
     • Social care
     • Patient death
     • Learning disabilities
     • Disability
     • Decision making

   By Patient-Safety-Learning, 3 March

   • 0 comments
   • 251 views
   • 
   • Added by Patient-Safety-Learning
   • 3 March

6. 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
   • 876 views
   • 
   • Added by Patient Safety Learning
   • 22 November, 2022

7. 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
   • 350 views
   • 
   • Added by Patient Safety Learning
   • 22 September, 2022

8. 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
   • 682 views
   • 
   • Added by Patient Safety Learning
   • 21 September, 2022

9. 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
   • 412 views
   • 
   • Added by Patient Safety Learning
   • 20 September, 2022

10. 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
    • 648 views
    • 
    • Added by Mark Hughes
    • 30 August, 2022

11. 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
    • 1,658 views
    • 
    • Added by Patient-Safety-Learning
    • 11 July, 2022

12. 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
    • 789 views
    • 
    • Comment by richard vA
    • 25 July, 2022

13. 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
    • 736 views
    • 
    • Added by Patient Safety Learning
    • 1 July, 2022

14. 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
    • 505 views
    • 
    • Added by Patient Safety Learning
    • 28 June, 2022

15. 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
    • 560 views
    • 
    • Added by Patient Safety Learning
    • 21 June, 2022

16. 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
    • 764 views
    • 
    • Added by Patient-Safety-Learning
    • 20 June, 2022

17. 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
    • 421 views
    • 
    • Added by Patient Safety Learning
    • 8 June, 2022

18. 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
    • 907 views
    • 
    • Added by Patient Safety Learning
    • 4 April, 2022

19. 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
    • 486 views
    • 
    • Added by Patient Safety Learning
    • 15 February, 2022

20. 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
    • 944 views
    • 
    • Added by Patient Safety Learning
    • 17 January, 2022

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

    • Investigation
    • Mental health

    By Patient-Safety-Learning, 10 January, 2022

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

22. 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
    • 500 views
    • 
    • Added by Patient Safety Learning
    • 1 January, 2022

23. NHS England: How we acted on patient safety issues you recorded

    • Patient safety incident
    • Investigation
    • (and 15 more)

      Tagged with:

      • Patient safety incident
      • Investigation
      • Safety process
      • Medical device / equipment
      • Medication
      • Surgery - General
      • Transfer of care
      • Prescribing
      • Maternity
      • Case report
      • Patient harmed
      • Paediatrics
      • Children and Young People
      • Pandemic
      • Pregnancy
      • Resuscitation
      • ICU/ ITU/ HDU

    By Patient-Safety-Learning, 1 December, 2021

    • 0 comments
    • 884 views
    • 
    • Added by Patient-Safety-Learning
    • 1 December, 2021

24. Template: Patient safety incident response plan 2020/21

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

      Tagged with:

      • Patient safety incident
      • Investigation
      • Action plan
      • Organisational learning

    By Patient-Safety-Learning, 1 October, 2021

    • 0 comments
    • 947 views
    • 
    • Added by Patient-Safety-Learning
    • 1 October, 2021

25. Patient safety incidents cannot be eradicated but mitigated (13 September 2021)

    • Negligence claim
    • Legal issue
    • (and 4 more)

      Tagged with:

      • Negligence claim
      • Legal issue
      • Organisational learning
      • Patient safety incident
      • Communication
      • Human factors

    By Patient Safety Learning, 15 September, 2021

    • 0 comments
    • 880 views
    • 
    • Added by Patient Safety Learning
    • 15 September, 2021