This website is intended for healthcare professionals
This website is intended for healthcare professionals
The first report to cause me to pose these questions is the long-awaited report by Dr Bill Kirkup (Kirkup, 2022) into the events at the maternity and neonatal services in East Kent. This has just been...
According to NHS Resolution (2022a) missed fractures can occur at sites throughout the body but one injury in particular, hip fractures in older patients with a history of a fall, stood out when cases...
‘Too often, valid lessons are drawn from adverse events but their implementation throughout the NHS is very patchy. Active learning is mostly confined to the individual organisation in which an...
The COVID-19 pandemic is still with us as we have moved into the new normality of coping with the virus. There is now time for reflection on how events developed and progressed from a patient safety...
One way to reflect on errors is to look at closed legal claims and examine the causes of litigation. This is a valuable exercise, as it enables a wealth of important detail to be obtained. Solicitors...
One way forward to ensuring good communication practices in health care is the proper implementation of the duty of candour..
People who feel that they may have been wronged by a particular NHS resource allocation decision can access the courts to try to resolve the dispute. There is a well-developed legal framework on NHS...
In its seminal report, Opening the Door to Change, the Care Quality Commission (CQC) (2018) stated:.
Issues discussed in the HSCC report included the impact of clinical negligence claims on patients themselves, nurses, doctors involved in a case and on the NHS generally. There was a focus on reining...
When viewing the recommendations, it is important to guard against a purely economic perspective of the issues. The report clearly echoes the concerns of many that something must be done about the...
We can add to the long list the Francis report (2013). Chapter 3 of the first volume deals with complaints and in the conclusion the following telling statement highlights the inherent power imbalance...
Current and past patient safety crises show that these issues have not been sufficiently addressed in the past and are constant themes that require urgent attention in the NHS today..
‘Trusts receive too many safety-related messages from too many different sources. The trusts we spoke to said there needed to be better communication and coordination between national bodies, and...
In researching patient safety and looking at helpful tools and trends there is a lot of deep thinking to do. The area is a complex one with competing underpinning conceptual theories. There is also a...
The economic argument is often used by those who are arguing for changes to our compensation system and litigation cost containment measures. The argument goes that the money paid out to those injured...
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