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Found 2 results
  1. Content Article
    A Parliamentary and Health Service Ombudsman (PHSO) report of an investigation that found that Averil Hart's tragic death from anorexia would have been avoided if the NHS had cared for her appropriately. Ignoring the alarms: How NHS eating disorder services are failing patients highlights five areas of focus to improve eating disorder services.
  2. Content Article
    Never Events are patient safety incidents that are considered preventable when national guidance or safety recommendations that provide strong systemic protective barriers are implemented by healthcare providers.  The cases analysed here include 20 of surgery at the wrong site; 4 of the wrong implant being inserted; and 14 of retained foreign objects. It is important to note that these cases represent a small fraction of the total number of interventional procedures undertaken in the NHS and independent sector during the year in question.

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