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NHS Resolution case study: Workplace culture and escalation (14 January 2026)

Summary

This case story is illustrative based on a range of examples of real events. NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff. As you read about this incident, please ask yourself:

  • Could this happen in my organisation?
  • Who could I share this with?
  • What can we learn from this?

Content

Key points:

  • To highlight the influence of workplace culture on clinical decision-making and its potential impact on patient safety.
  • To demonstrate the roles and responsibilities of senior leaders.
  • To emphasise the need for clear and structured communication within the multidisciplinary team (MDT).
  • To underline the importance of self-awareness and recognition of personal and professional limitations to reduce the risk of harm.
  • To understand the role of clear, well-defined escalation pathways in supporting timely senior involvement and safe clinical care.
  • To highlight importance of undertaking a holistic maternal assessment. 
NHS Resolution case study: Workplace culture and escalation (14 January 2026) https://resolution.nhs.uk/wp-content/uploads/2026/01/Workplace-Culture-and-Escalation.pdf

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