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Search results for "United Kingdom"
London, UK: Parliamentary and Health Service Ombudsman; June 24, 2014.
This investigation outlines how inadequate care contributed to the death of a child who developed sepsis while receiving treatment for the flu. Describing failures associated with telephone triage and out-of-hours service in the course of his care, the report recommends organization-wide efforts to improve safety, including providing guidelines for staff and support or families.
National Advisory Group on the Safety of Patients in England. London, England: Crown Publishing; August 2013.
Review into the Quality of Care and Treatment Provided by 14 Hospital Trusts in England: Overview Report.
Keogh B. London, UK: National Health Service; July 2013.
Outlining findings from an investigation into care delivered at National Health Service trusts with high mortality rates, this report details weaknesses in the organizations and recommends actions to address them.
Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.
In 2010 the United Kingdom's Secretary of State for Health announced a full public inquiry into the Mid Staffordshire National Health Services (NHS) Foundation Trust. This inquiry was in response to preliminary findings that suggested gross negligence, substandard care, and staff failings, which may have led to hundreds of preventable deaths between 2005 and 2009. The chairman of the inquiry, Robert Francis, published the final report following consideration of evidence from more than 250 witnesses and over a million pages of documentary material. The extensive three-volume report outlines 290 proposals, including drastic measures to improve patient safety culture, reliability, and responsibility standards across the NHS. In a related article, Robert Francis discusses the findings and implications of his inquiry. Charles Vincent discussed patient safety in the NHS in a recent AHRQ WebM&M interview.
St Andrews, Scotland: Scottish Information Commissioner; February 21, 2012. Reference No: 201100433.
This report describes an investigation into a 5-year delay in action plans for critical incident reviews in Scotland.
London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.
This report summarizes findings from a survey querying physicians about United Kingdom National Health Service whistleblowing policies.
London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.
This report analyzed how medication information is shared among UK practices and patients after a hospital stay and found that 81% of general practices thought that patient information given to them from hospitals was incomplete or inaccurate.
Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.
Baker M. Manchester, England: NHS North West; February 2007.
This report shares findings from an investigation into individual and system failures that contributed to a radiologist misreading mammograms for a 2-year period.