Investigations and complaints

Articles in this category

1. 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

   • 0 comments
   • 38 views
   • 
   • Added by Patient Safety Learning
   • 22 September

2. 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

   • 0 comments
   • 164 views
   • 
   • Added by Patient Safety Learning
   • 21 September

3. 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

   • 0 comments
   • 67 views
   • 
   • Added by Patient Safety Learning
   • 20 September

4. 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

   • 0 comments
   • 46 views
   • 
   • Added by Patient-Safety-Learning
   • 1 September

5. 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

   • 0 comments
   • 108 views
   • 
   • Added by Patient-Safety-Learning
   • 1 September

6. 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

   • 0 comments
   • 137 views
   • 
   • Added by Mark Hughes
   • 30 August

7. 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

   • 0 comments
   • 2,799 views
   • 
   • Added by PatientSafetyLearning Team
   • 16 August

8. 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

   • 0 comments
   • 906 views
   • 
   • Added by Patient-Safety-Learning
   • 11 July

9. 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

   • 1 comment
   • 306 views
   • 
   • Comment by richard vA
   • 25 July

10. 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

    • 0 comments
    • 269 views
    • 
    • Added by Patient Safety Learning
    • 1 July

11. 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

    • 0 comments
    • 165 views
    • 
    • Added by Patient Safety Learning
    • 28 June

12. 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

    • 0 comments
    • 177 views
    • 
    • Added by Patient Safety Learning
    • 21 June

13. 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

    • 0 comments
    • 229 views
    • 
    • Added by Patient-Safety-Learning
    • 20 June

14. 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

    • 0 comments
    • 64 views
    • 
    • Added by Patient Safety Learning
    • 8 June

15. 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

    • 0 comments
    • 458 views
    • 
    • Added by Patient Safety Learning
    • 4 April

16. 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

    • 0 comments
    • 192 views
    • 
    • Added by Patient Safety Learning
    • 15 February

17. 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

    • 0 comments
    • 368 views
    • 
    • Added by Patient Safety Learning
    • 17 January

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

    • Investigation
    • Mental health

    By Patient-Safety-Learning, 10 January

    • 0 comments
    • 154 views
    • 
    • Added by Patient-Safety-Learning
    • 10 January

19. 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

    • 0 comments
    • 453 views
    • 
    • Added by Patient Safety Learning
    • 2 January

20. 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

    • 0 comments
    • 147 views
    • 
    • Added by Patient Safety Learning
    • 1 January

21. 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
    • 443 views
    • 
    • Added by Patient-Safety-Learning
    • 1 December, 2021

22. 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
    • 436 views
    • 
    • Added by Patient-Safety-Learning
    • 1 October, 2021

23. 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
    • 525 views
    • 
    • Added by Patient Safety Learning
    • 15 September, 2021

24. 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, 2021

    • 0 comments
    • 622 views
    • 
    • Added by Patient Safety Learning
    • 9 September, 2021

25. International Standards and Recommended Practices: Annex 13 - Aircraft accident and incident investigation (July 2020)

    • Standards
    • Aviation
    • (and 1 more)

      Tagged with:

      • Standards
      • Aviation
      • Investigation

    By Patient Safety Learning, 16 August, 2021

    • 0 comments
    • 67 views
    • 
    • Added by Patient Safety Learning
    • 16 August, 2021