Other reports and inquiries

Articles in this category

1. Scottish Parliament Debate - Baroness Cumberlege Report (8 September 2020)

   • Medical device
   • Medication
   • (and 5 more)

     Tagged with:

     • Medical device
     • Medication
     • Maternity
     • Recommendations
     • Pregnancy
     • Patient harmed
     • Womens health

   By Mark Hughes, 10 September

   • 0 comments
   • 95 views
   • 
   • Added by Mark Hughes
   • 10 September

2. Better than cure: Injury prevention policy (13 August 2020)

   • Patient harmed
   • Safety report
   • (and 1 more)

     Tagged with:

     • Patient harmed
     • Safety report
     • Patient safety strategy

   By PatientSafetyLearning Team, 14 August

   • 0 comments
   • 107 views
   • 
   • Added by PatientSafetyLearning Team
   • 14 August

3. Patient safety in private hospitals: The known and unknown risks (August 2014)

   • Private sector
   • Safety report
   • (and 2 more)

     Tagged with:

     • Private sector
     • Safety report
     • Safety process
     • Safety behaviour

   By Claire Cox, 4 August

   • 0 comments
   • 46 views
   • 
   • Added by Claire Cox
   • 4 August

4. First Do No Harm. The report of the Independent Medicines and Medical Devices Safety Review (8 July 2020)

   • Medical device
   • Medication
   • (and 8 more)

     Tagged with:

     • Medical device
     • Medication
     • Patient harmed
     • Investigation
     • Recommendations
     • Pregnancy
     • Epilepsy
     • Baby
     • Maternity
     • Womens health

   By Patient Safety Learning, 9 July

   • 0 comments
   • 982 views
   • 
   • Added by Patient Safety Learning
   • 9 July

5. Health and Social Care Committee: Management of the coronavirus outbreak (17 April 2020)

   • Infection control
   • Virus
   • (and 3 more)

     Tagged with:

     • Infection control
     • Virus
     • Social care staff
     • Care home
     • Staff safety

   By PatientSafetyLearning Team, 17 April

   • 0 comments
   • 242 views
   • 
   • Added by PatientSafetyLearning Team
   • 17 April

6. BMJ Analysis. Rogue breast surgeon Ian Paterson: what has the inquiry told us?

   • Private sector
   • Surgeon
   • (and 4 more)

     Tagged with:

     • Private sector
     • Surgeon
     • Patient harmed
     • Investigation
     • Recommendations
     • Cancer

   By Patient Safety Learning, 17 February

   • 0 comments
   • 163 views
   • 
   • Added by Patient Safety Learning
   • 17 February

7. Ian Kennedy: The Paterson case is not a one-off—it indicates systemic weaknesses in the NHS (7 February 2020)

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

     Tagged with:

     • Investigation
     • Patient safety incident
     • Leadership
     • Bullying
     • Culture of fear
     • Organisational culture
     • Regulatory issue

   By Patient Safety Learning, 12 February

   • 0 comments
   • 351 views
   • 
   • Added by Patient Safety Learning
   • 12 February

8. Patient Safety Learning’s response to the Paterson Inquiry (11 February 2020)

   • Surgeon
   • Patient harmed
   • (and 4 more)

     Tagged with:

     • Surgeon
     • Patient harmed
     • Recommendations
     • Investigation
     • Criminal behaviour
     • Patient safety strategy

   By Patient Safety Learning, 11 February

   • 0 comments
   • 434 views
   • 
   • Added by Patient Safety Learning
   • 11 February

9. Ministerial Statement on the Paterson Inquiry in the House of Commons (4 February 2020)

   • Surgeon
   • Surgery - General
   • (and 4 more)

     Tagged with:

     • Surgeon
     • Surgery - General
     • Patient harmed
     • Investigation
     • Patient safety incident
     • Medicine - Oncology

   By Sam, 6 February

   • 0 comments
   • 164 views
   • 
   • Added by Sam
   • 6 February

10. Report of the independent Inquiry into the issues raised by Paterson (4 February 2020)

    • Surgeon
    • Patient harmed
    • (and 4 more)

      Tagged with:

      • Surgeon
      • Patient harmed
      • Recommendations
      • Patient safety incident
      • Criminal behaviour
      • Flawed processes

    By Patient Safety Learning, 5 February

    • 0 comments
    • 416 views
    • 
    • Added by Patient Safety Learning
    • 5 February

11. PHSO – Labyrinth of Bureaucracy (March 2015)

    • Patient factors
    • Investigation
    • (and 2 more)

      Tagged with:

      • Patient factors
      • Investigation
      • Complaint
      • Organisational culture

    By PatientSafetyLearning Team, 1 January

    • 0 comments
    • 234 views
    • 
    • Added by PatientSafetyLearning Team
    • 1 January

12. A review of quality governance arrangements at Cwm Taf Morgannwg University (November 2019)

    • Obstetrics and gynaecology/ Maternity
    • Resources / Organisational management
    • (and 2 more)

      Tagged with:

      • Obstetrics and gynaecology/ Maternity
      • Resources / Organisational management
      • Organisation / service factors
      • Organisational culture

    By Patient Safety Learning, 19 November, 2019

    • 0 comments
    • 277 views
    • 
    • Added by Patient Safety Learning
    • 19 November, 2019

13. Gosport War Memorial Hospital: The Report of the Gosport Independent Panel (June 2018)

    • Culture of fear
    • Accountability
    • (and 3 more)

      Tagged with:

      • Culture of fear
      • Accountability
      • Patient death
      • Prescribing
      • Investigation

    By PatientSafetyLearning Team, 6 November, 2019

    • 0 comments
    • 251 views
    • 
    • Added by PatientSafetyLearning Team
    • 6 November, 2019

14. Independent audit to review the NMC’s handling of documentation relating to midwives at Furness General Hospital (September 2019)

    • Obstetrics and gynaecology/ Maternity
    • Patient death
    • (and 3 more)

      Tagged with:

      • Obstetrics and gynaecology/ Maternity
      • Patient death
      • Investigation
      • Baby
      • Patient / family involvement

    By Patient Safety Learning, 24 October, 2019

    • 0 comments
    • 187 views
    • 
    • Added by Patient Safety Learning
    • 24 October, 2019

15. The inquiry into hyponatraemia-related deaths (January 2018)

    • Investigation
    • Recommendations
    • (and 3 more)

      Tagged with:

      • Investigation
      • Recommendations
      • Quality improvement
      • Patient safety strategy
      • Patient safety incident

    By Patient Safety Learning, 20 October, 2019

    • 0 comments
    • 166 views
    • 
    • Added by Patient Safety Learning
    • 20 October, 2019

16. Review relating to the care of patients on Tawel Fan ward prior to its closure (June 2018)

    • Patient harmed
    • Investigation
    • (and 2 more)

      Tagged with:

      • Patient harmed
      • Investigation
      • Older People (over 65)
      • Mental health - old age

    By PatientSafetyLearning Team, 6 October, 2019

    • 0 comments
    • 150 views
    • 
    • Added by PatientSafetyLearning Team
    • 6 October, 2019

17. ICO: Royal Free – Google DeepMind trial failed to comply with data protection law (July 2017)

    • Information processing
    • Legal issue

    By PatientSafetyLearning Team, 6 October, 2019

    • 0 comments
    • 140 views
    • 
    • Added by PatientSafetyLearning Team
    • 6 October, 2019

18. The Shipman Inquiry (2002-2005)

    • Patient death
    • Older People (over 65)
    • (and 3 more)

      Tagged with:

      • Patient death
      • Older People (over 65)
      • Legal issue
      • Investigation
      • Regulatory issue

    By PatientSafetyLearning Team, 6 October, 2019

    • 0 comments
    • 488 views
    • 
    • Added by PatientSafetyLearning Team
    • 6 October, 2019

19. A report for Norfolk and Suffolk NHS Foundation Trust: Independent review of unexpected deaths, April 2012 – December 2015

    • Patient death
    • Organisational learning
    • (and 5 more)

      Tagged with:

      • Patient death
      • Organisational learning
      • Organisational development
      • Safety culture
      • Safety process
      • Evaluation
      • Recommendations

    By Claire Cox, 6 October, 2019

    • 0 comments
    • 201 views
    • 
    • Added by Claire Cox
    • 6 October, 2019

20. The Royal Liverpool children's inquiry report (January 2001)

    • Children and Young People
    • Investigation
    • (and 4 more)

      Tagged with:

      • Children and Young People
      • Investigation
      • Legal issue
      • Medicine - Cardiology
      • Pathology
      • Baby

    By PatientSafetyLearning Team, 6 October, 2019

    • 0 comments
    • 198 views
    • 
    • Added by PatientSafetyLearning Team
    • 6 October, 2019

21. Learning from Bristol: the report of the public inquiry into children's heart surgery at the Bristol Royal Infirmary 1984 -1995 (July 2001)

    • Baby
    • Patient death
    • (and 4 more)

      Tagged with:

      • Baby
      • Patient death
      • Patient harmed
      • Investigation
      • Surgery - Cardiothoracic
      • Surgery - Paediatric

    By PatientSafetyLearning Team, 6 October, 2019

    • 0 comments
    • 168 views
    • 
    • Added by PatientSafetyLearning Team
    • 6 October, 2019

22. Independent review of deaths of people with a learning disability or mental health problem in contact with Southern Health NHS Foundation Trust April 2011 to March 2015

    • Recommendations
    • Investigation
    • (and 2 more)

      Tagged with:

      • Recommendations
      • Investigation
      • Mental health
      • Learning disabilities

    By Patient Safety Learning, 5 October, 2019

    • 0 comments
    • 154 views
    • 
    • Added by Patient Safety Learning
    • 5 October, 2019

23. Independent review into issues that may have contributed to the preventable death of Connor Sparrowhawk (October 2015)

    • Investigation
    • Patient death
    • (and 2 more)

      Tagged with:

      • Investigation
      • Patient death
      • Recommendations
      • Learning disabilities

    By Claire Cox, 13 September, 2019

    • 0 comments
    • 213 views
    • 
    • Added by Claire Cox
    • 13 September, 2019

24. A promise to learn – a commitment to act: improving the safety of patients in England (August 2013)

    • Recommendations
    • Investigation
    • (and 2 more)

      Tagged with:

      • Recommendations
      • Investigation
      • Quality improvement
      • Patient death

    By Claire Cox, 15 August, 2019

    • 0 comments
    • 168 views
    • 
    • Added by Claire Cox
    • 15 August, 2019

25. Learning from serious incidents in NHS acute hospitals: A review of the quality of investigation reports (June 2016)

    • Recommendations
    • Investigation
    • (and 3 more)

      Tagged with:

      • Recommendations
      • Investigation
      • Contributing factor
      • Patient
      • Relative

    By Claire Cox, 21 July, 2019

    • 0 comments
    • 231 views
    • 
    • Added by Claire Cox
    • 21 July, 2019