Investigations and complaints

Articles in this category

1. 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

   • 0 comments
   • 13 views
   • 
   • Added by Patient-Safety-Learning
   • 1 October

2. 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

   • 0 comments
   • 101 views
   • 
   • Added by Patient Safety Learning
   • 15 September

3. Radio Ombudsman #24: Derek Richford on how personal tragedy led to uncovering serious failings in maternity care (3 September 2021)

   • Maternity
   • Investigation
   • (and 5 more)

     Tagged with:

     • Maternity
     • Investigation
     • Transparency
     • Patient / family involvement
     • Patient / family support
     • Complaint
     • Legal issue

   By Patient Safety Learning, 9 September

   • 0 comments
   • 143 views
   • 
   • Added by Patient Safety Learning
   • 9 September

4. Why investigate? Part 12: Ethics in research

   • Ethics
   • Research
   • (and 4 more)

     Tagged with:

     • Ethics
     • Research
     • Human factors
     • Investigation
     • Standards
     • Regulatory issue

   By Lara Carballo, 8 September

   • 0 comments
   • 191 views
   • 
   • Added by Lara Carballo
   • 8 September

5. A guide to safety, quality and mortality review using the structured judgement case note review method - Yorkshire & Humber AHSN (2015)

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

     Tagged with:

     • Investigation
     • Patient safety incident
     • Care record

   By Patient-Safety-Learning, 3 June

   • 0 comments
   • 18 views
   • 
   • Added by Patient-Safety-Learning
   • 3 June

6. Why investigate? Part 11: We have a situation

   • Investigation
   • Human factors
   • (and 3 more)

     Tagged with:

     • Investigation
     • Human factors
     • Situation
     • System safety
     • Human error

   By Graham Edgar, 13 May

   • 0 comments
   • 508 views
   • 
   • Added by Graham Edgar
   • 13 May

7. Why investigate? Part 10: Fatigue – Enter the Sandman

   • Human factors
   • Investigation
   • (and 3 more)

     Tagged with:

     • Human factors
     • Investigation
     • Fatigue / exhaustion
     • Mental health
     • Nutrition

   By Bobbie Enright, 4 April

   • 0 comments
   • 718 views
   • 
   • Added by Bobbie Enright
   • 4 April

8. Why investigate? Part 9: Making wrong decisions when we think they are the right decisions

   • Investigation
   • Confirmation bias
   • (and 2 more)

     Tagged with:

     • Investigation
     • Confirmation bias
     • Decision making
     • Human factors

   By Prof Alex Stedmon, 9 March

   • 0 comments
   • 631 views
   • 
   • Added by Prof Alex Stedmon
   • 9 March

9. Why investigate: Part 8 – Why an ‘It’s an error trap conclusion’ is an error trap

   • Investigation
   • Human error
   • (and 2 more)

     Tagged with:

     • Investigation
     • Human error
     • Human factors
     • Regulatory issue

   By MartinL, 17 February

   • 0 comments
   • 802 views
   • 
   • Added by MartinL
   • 17 February

10. Raising concerns about a healthcare worker (AvMA)

    • Investigation
    • Complaint
    • (and 1 more)

      Tagged with:

      • Investigation
      • Complaint
      • Negligence claim

    By PatientSafetyLearning Team, 2 February

    • 0 comments
    • 159 views
    • 
    • Added by PatientSafetyLearning Team
    • 2 February

11. Self-help guides: Action Against Medical Accidents (AvMA)

    • Complaint
    • Investigation
    • (and 1 more)

      Tagged with:

      • Complaint
      • Investigation
      • Patient harmed

    By PatientSafetyLearning Team, 1 February

    • 0 comments
    • 139 views
    • 
    • Added by PatientSafetyLearning Team
    • 1 February

12. NHS Serious Incident framework (27 March 2015)

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

      Tagged with:

      • Patient safety incident
      • Organisational learning
      • Investigation
      • Patient harmed

    By Patient-Safety-Learning, 14 January

    • 0 comments
    • 13 views
    • 
    • Added by Patient-Safety-Learning
    • 14 January

13. CQC inspections and regulation of Whorlton Hall: second independent report (15 December 2020)

    • Legal issue
    • Patient safety incident
    • (and 8 more)

      Tagged with:

      • Legal issue
      • Patient safety incident
      • Recommendations
      • Regulatory issue
      • Learning disabilities
      • Autism
      • Organisational culture
      • Organisational Performance
      • Organisational learning
      • Speaking up

    By Patient Safety Learning, 6 January

    • 0 comments
    • 294 views
    • 
    • Added by Patient Safety Learning
    • 6 January

14. Why investigate? Part 7 – The questions and answers

    • Investigation
    • Human factors
    • (and 1 more)

      Tagged with:

      • Investigation
      • Human factors
      • Safety assessment

    By MartinL, 8 December, 2020

    • 0 comments
    • 836 views
    • 
    • Added by MartinL
    • 8 December, 2020

15. HSIB: Submit a patient safety concern

    • Complaint
    • Patient engagement
    • (and 1 more)

      Tagged with:

      • Complaint
      • Patient engagement
      • Safety report

    By PatientSafetyLearning Team, 30 September, 2020

    • 0 comments
    • 334 views
    • 
    • Added by PatientSafetyLearning Team
    • 30 September, 2020

16. Radio Ombudsman #19: Sir Robert Francis QC on why listening to patients is vital to improve services

    • Complaint
    • Speaking up
    • (and 3 more)

      Tagged with:

      • Complaint
      • Speaking up
      • Whistleblowing
      • Patient engagement
      • Accountability

    By Patient Safety Learning, 16 September, 2020

    • 0 comments
    • 438 views
    • 
    • Added by Patient Safety Learning
    • 16 September, 2020

17. Findings of the Cumberlege Review: patient complaints

    • Womens health
    • Complaint
    • (and 2 more)

      Tagged with:

      • Womens health
      • Complaint
      • Patient harmed
      • Patient engagement

    By PatientSafetyLearning Team, 30 July, 2020

    • 0 comments
    • 915 views
    • 
    • Added by PatientSafetyLearning Team
    • 30 July, 2020

18. Healthcare regulation should be about the people, not the process (July 2020)

    • Investigation
    • Patient engagement
    • (and 5 more)

      Tagged with:

      • Investigation
      • Patient engagement
      • Patient death
      • Baby
      • Maternity
      • Quality improvement
      • Patient involvement

    By PatientSafetyLearning Team, 30 July, 2020

    • 0 comments
    • 442 views
    • 
    • Added by PatientSafetyLearning Team
    • 30 July, 2020

19. Restorative practice in healthcare (webinar recording, July 2020)

    • Investigation
    • Safety culture
    • (and 4 more)

      Tagged with:

      • Investigation
      • Safety culture
      • Culture of fear
      • Transparency
      • Leadership
      • Restorative Justice

    By Claire Cox, 27 July, 2020

    • 0 comments
    • 486 views
    • 
    • Added by Claire Cox
    • 27 July, 2020

20. Race differences in reported harmful patient safety events in healthcare system high reliability organisations (December 2018)

    • Race
    • Ethnicity
    • (and 3 more)

      Tagged with:

      • Race
      • Ethnicity
      • Health inequalities
      • Discrimination
      • Unconscious bias

    By PatientSafetyLearning Team, 27 July, 2020

    • 0 comments
    • 227 views
    • 
    • Added by PatientSafetyLearning Team
    • 27 July, 2020

21. ‘Requiring immediate action’: The patient safety issues hidden in unpublished reports (25 June 2020)

    • Investigation
    • Patient safety incident
    • (and 6 more)

      Tagged with:

      • Investigation
      • Patient safety incident
      • Organisational culture
      • Communication
      • Maternity
      • Surgery - General
      • Bullying
      • Patient death

    By Patient Safety Learning, 26 June, 2020

    • 0 comments
    • 864 views
    • 
    • Added by Patient Safety Learning
    • 26 June, 2020

22. How or Why. Part 6. A series of blogs from Dr Martin Langham

    • Investigation
    • Indicators
    • (and 4 more)

      Tagged with:

      • Investigation
      • Indicators
      • Ergonomics
      • Contributing factor
      • External factors
      • Perception / understanding

    By MartinL, 5 June, 2020

    • 2 comments
    • 1,819 views
    • 
    • Comment by Patient Safety Learning
    • 10 June, 2020

23. The patient died: What about involvement in the investigation process? (May 2020)

    • Patient
    • Patient death
    • (and 2 more)

      Tagged with:

      • Patient
      • Patient death
      • Patient / family involvement
      • Investigation

    By Claire Cox, 26 May, 2020

    • 0 comments
    • 639 views
    • 
    • Added by Claire Cox
    • 26 May, 2020

24. Incident review report: COVID-19 staff infections Waitakere Hospital (April 2020)

    • Investigation
    • Staff safety
    • (and 4 more)

      Tagged with:

      • Investigation
      • Staff safety
      • PPE (personal Protective Equipment)
      • Care home
      • Transmission
      • Virus

    By Claire Cox, 13 May, 2020

    • 0 comments
    • 927 views
    • 
    • Added by Claire Cox
    • 13 May, 2020

25. CQC inspections and regulation of Whorlton Hall 2015-2019: an independent review (18 February 2020)

    • Recommendations
    • Regulatory issue
    • (and 7 more)

      Tagged with:

      • Recommendations
      • Regulatory issue
      • Legal issue
      • Learning disabilities
      • Autism
      • Organisational learning
      • Organisational culture
      • Speaking up
      • Patient safety incident

    By Patient Safety Learning, 6 May, 2020

    • 0 comments
    • 159 views
    • 
    • Added by Patient Safety Learning
    • 6 May, 2020