Other reports and inquiries

Articles in this category

1. The Scottish Public Services Ombudsman Investigation Report into the Highland NHS Board (23 November 2022)

   • Scotland
   • Investigation
   • (and 7 more)

     Tagged with:

     • Scotland
     • Investigation
     • Patient suffering
     • Long waiting list
     • Organisation / service factors
     • Surgery - General
     • Patient harmed
     • Treatment
     • Complaint

   By Patient Safety Learning, Thursday at 14:35

   • 0 comments
   • 21 views
   • 
   • Added by Patient Safety Learning
   • Thursday at 14:35

2. The GMC’s handling of the case of Dr Manjula Arora: An independent learning review (November 2022)

   • Investigation
   • Regulatory issue
   • (and 6 more)

     Tagged with:

     • Investigation
     • Regulatory issue
     • Organisational learning
     • Legal issue
     • Discrimination
     • BAME
     • Ethnicity
     • Health inequalities

   By Patient Safety Learning, 8 November

   • 0 comments
   • 41 views
   • 
   • Added by Patient Safety Learning
   • 8 November

3. Early Day Motions: Financial redress for victims of surgical mesh, sodium valproate and hormone pregnancy tests (5 September 2022)

   • Medical device
   • Redress
   • (and 7 more)

     Tagged with:

     • Medical device
     • Redress
     • Negligence claim
     • Womens health
     • Patient harmed
     • Recommendations
     • Epilepsy
     • Medication
     • Pregnancy

   By Patient Safety Learning, 7 September

   • 0 comments
   • 116 views
   • 
   • Added by Patient Safety Learning
   • 7 September

4. UK Infected Blood Inquiry website

   • Blood / blood products
   • Healthcare associated infection
   • (and 4 more)

     Tagged with:

     • Blood / blood products
     • Healthcare associated infection
     • Medicine - Haematology
     • Patient harmed
     • Patient death
     • UK

   By Patient-Safety-Learning, 28 July

   • 0 comments
   • 204 views
   • 
   • Added by Patient-Safety-Learning
   • 28 July

5. UK Covid-19 Inquiry: Opening statement (21 July 2022)

   • Investigation
   • Patient death
   • (and 4 more)

     Tagged with:

     • Investigation
     • Patient death
     • Patient harmed
     • Patient / family involvement
     • Virus
     • Pandemic

   By Patient Safety Learning, 22 July

   • 0 comments
   • 333 views
   • 
   • Added by Patient Safety Learning
   • 22 July

6. RQIA Review of the systems and processes for learning from serious adverse incidents in Northern Ireland (7 July 2022)

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

     Tagged with:

     • Patient safety incident
     • Investigation
     • Reporting
     • Organisational learning
     • Organisational Performance
     • Northern Ireland
     • Recommendations
     • Safety process
     • Flawed processes

   By Patient Safety Learning, 8 July

   • 0 comments
   • 393 views
   • 
   • Added by Patient Safety Learning
   • 8 July

7. UK Covid-19 Inquiry Terms of Reference (28 June 2022)

   • Long Covid
   • Pandemic
   • (and 3 more)

     Tagged with:

     • Long Covid
     • Pandemic
     • Public health
     • Health inequalities
     • PPE (personal Protective Equipment)

   By Patient-Safety-Learning, 1 July

   • 0 comments
   • 277 views
   • 
   • Added by Patient-Safety-Learning
   • 1 July

8. Questions in the House of Commons on surgical mesh implants (28 June 2022)

   • Medical device
   • Patient harmed
   • (and 2 more)

     Tagged with:

     • Medical device
     • Patient harmed
     • Surgery - Obs & Gynae
     • Recommendations

   By Mark Hughes, 28 June

   • 0 comments
   • 337 views
   • 
   • Added by Mark Hughes
   • 28 June

9. Independent Neurology Inquiry Report (21 June 2022)

   • Medicine - Neurology
   • Investigation
   • (and 7 more)

     Tagged with:

     • Medicine - Neurology
     • Investigation
     • Recommendations
     • Communication
     • Organisation / service factors
     • Diagnostic error
     • Patient involvement
     • Leadership
     • Policies / Protocols / Procedures

   By Patient Safety Learning, 21 June

   • 0 comments
   • 1,188 views
   • 
   • Added by Patient Safety Learning
   • 21 June

10. Scottish Covid-19 Inquiry

    • Scotland
    • Investigation
    • (and 2 more)

      Tagged with:

      • Scotland
      • Investigation
      • Virus
      • Pandemic

    By Patient Safety Learning, 16 June

    • 0 comments
    • 262 views
    • 
    • Added by Patient Safety Learning
    • 16 June

11. Independent report. Compensation and redress for the victims of infected blood: recommendations for a framework (7 June 2022)

    • Blood / blood products
    • Investigation
    • (and 4 more)

      Tagged with:

      • Blood / blood products
      • Investigation
      • Redress
      • Recommendations
      • Legal issue
      • Patient / family involvement

    By Patient Safety Learning, 10 June

    • 0 comments
    • 221 views
    • 
    • Added by Patient Safety Learning
    • 10 June

12. Early Day Motion - Implementation of the Independent Medicines and Medical Devices Safety Review recommendations (18 May 2022)

    • Medication
    • Epilepsy
    • (and 4 more)

      Tagged with:

      • Medication
      • Epilepsy
      • Patient harmed
      • Recommendations
      • Womens health
      • Baby

    By Mark Hughes, 1 June

    • 0 comments
    • 363 views
    • 
    • Added by Mark Hughes
    • 1 June

13. Queen’s Speech debate: Baroness Cumberlege excerpts (17 May 2022)

    • Womens health
    • Baby
    • (and 6 more)

      Tagged with:

      • Womens health
      • Baby
      • Patient harmed
      • Medication
      • Medical device
      • Regulatory issue
      • Pregnancy
      • Investigation

    By Patient Safety Learning, 19 May

    • 0 comments
    • 433 views
    • 
    • Added by Patient Safety Learning
    • 19 May

14. Ministerial Statement on the Ockenden Review in the House of Commons (30 March 2022)

    • Maternity
    • Investigation
    • (and 4 more)

      Tagged with:

      • Maternity
      • Investigation
      • Recommendations
      • Patient death
      • Patient harmed
      • Baby

    By Mark Hughes, 31 March

    • 0 comments
    • 270 views
    • 
    • Added by Mark Hughes
    • 31 March

15. Protecting human rights in care settings inquiry

    • Care home
    • Learning disabilities
    • (and 7 more)

      Tagged with:

      • Care home
      • Learning disabilities
      • Disability
      • Autism
      • Older People (over 65)
      • Home
      • Social Care
      • Investigation
      • Legal issue

    By Patient Safety Learning, 24 March

    • 0 comments
    • 198 views
    • 
    • Added by Patient Safety Learning
    • 24 March

16. IEA Podcast - First do no harm: Avoidable harm in the health service (25 February 2022)

    • Medical device
    • Medication
    • (and 8 more)

      Tagged with:

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

    By Mark Hughes, 3 March

    • 0 comments
    • 285 views
    • 
    • Added by Mark Hughes
    • 3 March

17. West Suffolk Review – organisational development plan (28 January 2022)

    • Investigation
    • Staff factors
    • (and 5 more)

      Tagged with:

      • Investigation
      • Staff factors
      • Organisational culture
      • Bullying
      • Whistleblowing
      • Recommendations
      • Leadership

    By Patient Safety Learning, 1 March

    • 0 comments
    • 316 views
    • 
    • Added by Patient Safety Learning
    • 1 March

18. Early Day Motion - Implementation of the Independent Medicines and Medical Devices Safety Review recommendations (28 February 2022)

    • Medication
    • Epilepsy
    • (and 3 more)

      Tagged with:

      • Medication
      • Epilepsy
      • Patient harmed
      • Recommendations
      • Womens health

    By Mark Hughes, 1 March

    • 0 comments
    • 502 views
    • 
    • Added by Mark Hughes
    • 1 March

19. Independent Medicines and Medical Devices Safety Review: A joint letter from the Association for Children Damaged by Hormone Pregnancy Tests, Sling The Mesh and In-Fact (17 February 2022)

    • Womens health
    • Regulatory issue
    • (and 6 more)

      Tagged with:

      • Womens health
      • Regulatory issue
      • Recommendations
      • Pregnancy
      • Medical device
      • Medication
      • Patient harmed
      • Baby

    By Patient Safety Learning, 18 February

    • 0 comments
    • 959 views
    • 
    • Added by Patient Safety Learning
    • 18 February

20. External Inquiry into the adverse incident that occurred at Queen’s Medical Centre, Nottingham, 4th January 2001 (17 April 2001)

    • Cancer
    • Adminstering medication
    • (and 5 more)

      Tagged with:

      • Cancer
      • Adminstering medication
      • Patient death
      • System safety
      • Human factors
      • Flawed processes
      • Patient safety incident

    By Patient-Safety-Learning, 9 February

    • 0 comments
    • 375 views
    • 
    • Added by Patient-Safety-Learning
    • 9 February

21. Investigation into 10 maternal deaths at, or following delivery at, Northwick Park Hospital, North West London Hospitals NHS Trust, between April 2002 and April 2005 (August 2006)

    • Maternity
    • Patient death
    • (and 5 more)

      Tagged with:

      • Maternity
      • Patient death
      • Obstetrics and gynaecology/ Maternity
      • Skills gap
      • Additional staff required
      • Monitoring
      • Documentation

    By Patient-Safety-Learning, 9 February

    • 0 comments
    • 474 views
    • 
    • Added by Patient-Safety-Learning
    • 9 February

22. Muckamore Abbey Hospital Public Inquiry website (October 2021)

    • Learning disabilities
    • Northern Ireland
    • (and 3 more)

      Tagged with:

      • Learning disabilities
      • Northern Ireland
      • Patient suffering
      • Patient harmed
      • Legal issue

    By Patient-Safety-Learning, 7 February

    • 0 comments
    • 860 views
    • 
    • Added by Patient-Safety-Learning
    • 7 February

23. House of Commons Debate - Cumberlege Report (3 February 2022)

    • Medical device
    • Medication
    • (and 5 more)

      Tagged with:

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

    By Mark Hughes, 4 February

    • 0 comments
    • 621 views
    • 
    • Added by Mark Hughes
    • 4 February

24. Hyponatraemia inquiry: The inquiry that everyone forgot (Institute for Government, 27 March 2018)

    • Patient harmed
    • Investigation
    • (and 2 more)

      Tagged with:

      • Patient harmed
      • Investigation
      • Recommendations
      • Patient death

    By Patient Safety Learning, 27 January

    • 0 comments
    • 53 views
    • 
    • Added by Patient Safety Learning
    • 27 January

25. Independent investigation into birth of stillborn baby at HMP Styal on 18 June 2020: A report by the Prisons and Probation Obudsman (11 January 2022)

    • Prison
    • Maternity
    • (and 4 more)

      Tagged with:

      • Prison
      • Maternity
      • Investigation
      • Baby
      • Patient death
      • Womens health

    By Patient-Safety-Learning, 12 January

    • 0 comments
    • 981 views
    • 
    • Added by Patient-Safety-Learning
    • 12 January