Trust investigations

Articles in this category

1. Letter to families about the Independent Thematic Review of maternity services at Nottingham University Hospitals NHS Trust (26 May 2022)

   • Maternity
   • Investigation
   • (and 3 more)

     Tagged with:

     • Maternity
     • Investigation
     • Baby
     • Patient death
     • Organisation / service factors

   By Patient Safety Learning, 26 May, 2022

   • 0 comments
   • 1,298 views
   • 
   • Added by Patient Safety Learning
   • 26 May, 2022

2. Ockenden report: the refusal of our healthcare service to take patient experience seriously (BMJ, 1 April 2022)

   • Investigation
   • Maternity
   • (and 3 more)

     Tagged with:

     • Investigation
     • Maternity
     • Patient death
     • Patient / family support
     • Patient / family involvement

   By Patient Safety Learning, 4 April, 2022

   • 0 comments
   • 1,618 views
   • 
   • Added by Patient Safety Learning
   • 4 April, 2022

3. Patient Safety Learning: Initial response to the publication of the Ockenden Review (30 March 2022)

   • Maternity
   • Patient death
   • (and 10 more)

     Tagged with:

     • Maternity
     • Patient death
     • Patient harmed
     • Baby
     • Investigation
     • Recommendations
     • Organisational learning
     • Organisation / service factors
     • Patient / family involvement
     • Staff safety
     • Organisational culture
     • Leadership

   By Patient Safety Learning, 30 March, 2022

   • 2 comments
   • 2,828 views
   • 
   • Comment by Sam
   • 5 April, 2022

4. Ockenden Report: Findings, conclusions and essential actions from the independent review of maternity services at The Shrewsbury and Telford Hospital NHS Trust (30 March 2022)

   • Maternity
   • Investigation
   • (and 13 more)

     Tagged with:

     • Maternity
     • Investigation
     • Recommendations
     • Patient death
     • Patient harmed
     • Baby
     • Organisational learning
     • Organisation / service factors
     • Workforce management
     • Safe staffing
     • Accountability
     • Training
     • Clinical governance
     • Patient / family involvement
     • Patient / family support

   By Patient Safety Learning, 30 March, 2022

   • 0 comments
   • 7,306 views
   • 
   • Added by Patient Safety Learning
   • 30 March, 2022

5. Queen Elizabeth University Hospital Review (June 2020)

   • Infrastructure / building / equipment
   • Infection control
   • (and 5 more)

     Tagged with:

     • Infrastructure / building / equipment
     • Infection control
     • Investigation
     • Recommendations
     • Healthcare associated infection
     • Scotland
     • Patient death

   By Patient Safety Learning, 9 May, 2021

   • 0 comments
   • 1,377 views
   • 
   • Added by Patient Safety Learning
   • 9 May, 2021

6. Patient Safety Learning: Reflections on the initial findings of the Ockenden Review

   By Patient Safety Learning, 10 December, 2020

   • 0 comments
   • 877 views
   • 
   • Added by Patient Safety Learning
   • 10 December, 2020

7. Ockenden Report: Emerging findings and recommendations from the independent review of maternity services at the Shrewsbury and Telford Hospital NHS Trust (10 December 2020)

   • Investigation
   • Recommendations
   • (and 5 more)

     Tagged with:

     • Investigation
     • Recommendations
     • Patient death
     • Patient harmed
     • Maternity
     • Organisational learning
     • Organisation / service factors

   By Patient Safety Learning, 10 December, 2020

   • 0 comments
   • 22,486 views
   • 
   • Added by Patient Safety Learning
   • 10 December, 2020

8. Stage 1 Report into Southern Health NHS Foundation Trust (February 2020)

   • Investigation
   • Patient death

   By PatientSafetyLearning Team, 28 October, 2020

   • 0 comments
   • 1,236 views
   • 
   • Added by PatientSafetyLearning Team
   • 28 October, 2020

9. Independent investigation into the management of the Trust’s disciplinary process resulting in the dismissal of Mr Amin Abdullah (August 2018)

   • Nurse
   • Investigation
   • (and 5 more)

     Tagged with:

     • Nurse
     • Investigation
     • Safety culture
     • Organisational culture
     • Self harm/ suicide
     • Staff support
     • Recommendations

   By Patient Safety Learning, 3 January, 2020

   • 0 comments
   • 1,369 views
   • 
   • Added by Patient Safety Learning
   • 3 January, 2020

10. Report of the Liverpool Community Health Independent Review (February 2018)

    • Community care
    • Community care facility
    • (and 2 more)

      Tagged with:

      • Community care
      • Community care facility
      • Patient death
      • Investigation

    By PatientSafetyLearning Team, 6 November, 2019

    • 0 comments
    • 2,002 views
    • 
    • Added by PatientSafetyLearning Team
    • 6 November, 2019

11. Great Ormond Street Hospital: Inquest of Amy Allan (1 October 2019)

    • Hospital ward
    • Outpatients
    • (and 9 more)

      Tagged with:

      • Hospital ward
      • Outpatients
      • Care assessment
      • Care coordination
      • Medicine - Cardiology
      • Surgery - Cardiothoracic
      • Documentation
      • Clinical process
      • Patient death
      • Investigation
      • Children and Young People

    By Claire Cox, 7 October, 2019

    • 0 comments
    • 1,613 views
    • 
    • Added by Claire Cox
    • 7 October, 2019

12. Dorset Healthcare University NHS Foundation Trust: Policy for reporting and investigating deaths (August 2017)

    • Patient death
    • Workforce management
    • (and 4 more)

      Tagged with:

      • Patient death
      • Workforce management
      • Training
      • Clinical governance
      • Retrospective
      • Policies / Protocols / Procedures

    By Claire Cox, 6 October, 2019

    • 0 comments
    • 1,326 views
    • 
    • Added by Claire Cox
    • 6 October, 2019

13. Report into the deaths of people with a learning disability or mental health problem at Southern Health NHS Foundation Trust (December 2015)

    • Investigation
    • Patient death
    • (and 4 more)

      Tagged with:

      • Investigation
      • Patient death
      • Mental health
      • Mental health - CAMHS
      • Young Adult
      • Learning disabilities

    By PatientSafetyLearning Team, 6 October, 2019

    • 0 comments
    • 1,383 views
    • 
    • Added by PatientSafetyLearning Team
    • 6 October, 2019

14. Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (February 2013)

    • Patient death
    • Investigation
    • (and 2 more)

      Tagged with:

      • Patient death
      • Investigation
      • Safety management
      • Safe staffing

    By PatientSafetyLearning Team, 6 October, 2019

    • 0 comments
    • 3,559 views
    • 
    • Added by PatientSafetyLearning Team
    • 6 October, 2019

15. Serious Incident Investigation and Learning Procedure - The Tavistock and Portman NHS Foundation Trust (for review August 2019)

    • Investigation
    • protocols and procedures

    By Claire Cox, 19 July, 2019

    • 0 comments
    • 1,144 views
    • 
    • Added by Claire Cox
    • 19 July, 2019