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PSNet: Patient Safety Network
Book/Report

Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust.

London UK: Crown Copyright; December 10, 2020. ISBN: 9781528623049.  

Maternal death and preventable poor neonatal outcomes are indications of health care safety and quality issues. This publication examined 250 instances of maternal and baby harm at a National Health Service trust between 2000 and 2019. Recommendations for improvement drawn from the analysis include the use of expert opinion, ward rounding, external incident review, team coordination, and organizational partnership activities focused on care delivery.