‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals | PSNet

Provide Feedback |

Submit a Case

Register

Newspaper/Magazine Article

‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals

December 18, 2019

Lintern S. The Independent. November 18, 2019.

Infants are particularly vulnerable to patient safety errors. This article shares preliminary findings of a government investigation into infant deaths at a National Health Service Trust hospital. Initial insights discussed include the lack of a safety culture at the Trust Hospital facilitating the persistence of the problems.

Related news article

Related Resources From the Same Author(s)

Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up.

January 29, 2020

When surgery goes wrong: weighing up the risks.

December 6, 2006

Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions.

March 27, 2019

The influence of organizational culture, climate and commitment on speaking up about medical errors.

December 18, 2019

Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention.

August 12, 2020

Flu shot mix-up at Oklahoma facility leaves 10 hospitalized

December 4, 2019

Description of the role of pharmacist independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy.

March 24, 2021

The role of organizational and professional cultures in medication safety: a scoping review of the literature.

January 15, 2020

The barriers and enhancers to trust in a just culture in hospital settings: a systematic review.

August 17, 2022

Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database.

July 6, 2022

ISMP updates its list of drug name pairs with Tall man letters.

December 1, 2010

Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns.

December 6, 2017

20 years later: to err is a leadership failure.

December 4, 2019

Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey.

March 22, 2023

Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019.

March 22, 2023

Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross-sectional survey and an analysis of registration data.

July 15, 2020

Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019.

August 3, 2022

Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth.

January 22, 2020

HANYS' Report on Report Cards.

November 20, 2019

Mounting drug shortages delay treatments for patients with bladder cancer

December 18, 2019

Patient safety leader reflects on ‘To Err is Human’ report

December 11, 2019

Your diagnosis was wrong. Could doctor bias have been a factor?

December 11, 2019

A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here!

December 4, 2019

Ignored, threatened, berated: after difficult childbirth experiences, new parents seek healing by speaking up.

December 4, 2019

The health care industry needs to be more honest about medical errors.

November 20, 2019

Before mea culpa, Children’s was confident its air systems weren’t source of infection

December 11, 2019

Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy.

December 2, 2015

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial.

March 1, 2023

Adding automation and independent dual verification to reduce wrong blood in tube (WBIT) events.

September 28, 2022

Gosport War Memorial Hospital. The Report of the Gosport Independent Panel.

November 7, 2018

Independent Mortality Review of Cardiac Surgery at St George’s University Hospitals NHS Foundation Trust.

April 15, 2020

Confronting Racism in Health Care: Moving from Proclamations to New Practices.

December 1, 2021

Five-year audit of adherence to an anaesthesia pre-induction checklist.

March 30, 2022

The opioid epidemic: what can surgeons do about it?

July 19, 2017

Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project.

January 25, 2023

How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety?

December 7, 2022

Engineering for safety: use of failure mode and effects analysis in the laboratory.

March 6, 2005

Nursing homes fined for COVID infection control lapses.

December 9, 2020

Action Planning Tool for the AHRQ Surveys on Patient Safety Culture.

December 5, 2022

Examining the meaning of the language used to communicate the nursing hand-off.

November 24, 2021

Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19.

September 9, 2020

Home health staff perspectives on infection prevention and control: implications for Coronavirus Disease 2019.

December 23, 2020

Foundations of Safety Science: a century of understanding accidents and disasters.

January 1, 2019

Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.

July 8, 2020

Implementing Patient Safety: Addressing Culture, Conditions and Values to Help People Work Safely.

October 23, 2019

Medication Overload: America's Other Drug Problem.

June 19, 2019

New evidence on stemming low-value prescribing.

May 1, 2019

Medicine Safety: Take Care.

February 27, 2019

Evidence Brief: Implementation of High Reliability Organization Principles.

July 24, 2019

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience.

February 5, 2020

Their kids died on the psych ward. They were far from alone, a Times investigation found.

December 18, 2019

Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients.

May 1, 2020

Ensuring successful implementation of communication-and-resolution programmes.

March 18, 2020

'Immunising' physicians against availability bias in diagnostic reasoning: a randomised controlled experiment.

March 18, 2020

Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019.

April 15, 2020

Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers.

September 23, 2020

Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center.

August 12, 2020

The challenges and opportunities for shared decision making highlighted by COVID-19.

August 12, 2020

Reducing prescribing errors in hospitalized children on the ketogenic diet.

February 24, 2021

Exploring the association between organizational safety climate, failure to rescue, and mortality in inpatient surgical units.

February 3, 2021

Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19.

December 16, 2020

Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients.

June 9, 2021

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.

May 19, 2021

Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration.

November 24, 2021

A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams.

October 7, 2020

The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial.

February 2, 2022

The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event.

July 15, 2020

The problem with making Safety-II work in healthcare.

April 13, 2022

‘They can’t ignore us any more’: five women on long Covid and medical misogyny.

October 26, 2022

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

October 12, 2022

Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018.

May 25, 2022

Rethinking hospital restraints.

September 3, 2014

Curing our diagnostic disorder.

October 25, 2017

200 epidural blunders admitted after three women die.

July 5, 2006

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.

February 12, 2020

American Geriatrics Society 2019 Updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults.

June 12, 2019

Dispensing Errors.

December 16, 2020

Zero Suicide Initiative.

November 17, 2021

‘No one is listening to us’.

November 25, 2020

Healthcare Systems Ergonomics and Patient Safety Triennial Conference.

November 2, 2022 - November 4, 2022

America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016.

November 23, 2016

Hamilton father misdiagnosed with lung cancer demands answers.

November 26, 2014

America's Hospitals: Improving Quality and Safety: The Joint Commission's Annual Report 2014.

November 26, 2014

America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2015.

December 2, 2015

Why it's so easy for doctors to misdiagnose kids.

December 2, 2015

Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.

December 12, 2018

Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries.

January 9, 2019

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.

November 24, 2010

Hidden mistakes in hospitals.

November 25, 2009

How to Identify and Address Unsafe Conditions Associated With Health IT.

December 18, 2013

All can be lost: the risk of putting our knowledge in the hands of machines.

December 4, 2013

Hospital mistakes kept secret.

November 30, 2011

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

December 10, 2008

Preventing the tragedy of misdiagnosis.

December 13, 2006

The malpractice mess.

December 7, 2005

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

October 28, 2020

The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healthcare Safety Network.

September 22, 2021

The impact of the use of employee functional flexibility on patient safety.

November 18, 2020

Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events.

November 11, 2020

Cancer diagnostic delay in Northern and Central Italy during the 2020 lockdown due to the coronavirus disease 2019 pandemic.

October 21, 2020

View More

Related Resources

How Columbia ignored women, undermined prosecutors and protected a predator for more than 20 years.

September 20, 2023

Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law.

May 31, 2023

Why do so many Black women die in pregnancy? One reason: doctors don't take them seriously.

May 31, 2023

Bleeding and in pain, a pregnant woman in Louisiana couldn’t get answers.

January 25, 2023

Abortion bans have consequences for wanted pregnancies, too.

August 17, 2022

Woman works to end Black maternal health crisis after daughter dies after giving birth.

April 27, 2022

First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality.

March 3, 2021

Not ‘just depression.’ She seemed trapped in a downward mental health spiral. The real cause was a profound shock.

February 3, 2021

A night in the hospital, from both ends of the stethoscope.

January 20, 2021

The plague year. The mistakes and the struggles behind America’s coronavirus tragedy.

January 13, 2021

Without an 'ounce of empathy': their stories show the dangers of being Black and pregnant.

September 23, 2020

Avoiding care during the pandemic could mean life or death.

August 12, 2020

Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say.

May 27, 2020

The role of racism as a core patient safety issue.

February 5, 2020

Ignored, threatened, berated: after difficult childbirth experiences, new parents seek healing by speaking up.

December 4, 2019

Better Health for Mothers and Babies.

May 29, 2019

What's in a name? Newborn naming conventions and wrong-patient errors.

May 8, 2019

Heart Failure: The Decline of a Historic Transplant Program.

January 30, 2019

Deadly Deliveries.

August 8, 2018

The next wave of hospital innovation to make patients safer.

August 17, 2016

Many well-known hospitals fail to score high in Medicare rankings.

August 10, 2016

Paralyzed by errors, this Xbox designer is taking on hospital safety.

June 29, 2016

Mean girls of the ER: the alarming nurse culture of bullying and hazing.

June 8, 2016

Rating hospitals by the stars: the feds' latest plan to measure quality is the most controversial.

June 1, 2016

Clues to better health care from old malpractice lawsuits.

May 18, 2016

Hospital discharge: it's one of the most dangerous periods for patients.

May 11, 2016

Service members are left in dark on health errors.

April 29, 2015

Inside Canada's secret world of medical error: 'There is a lot of lying, there's a lot of cover-up.'

January 28, 2015

The US has a drug shortage—and people are dying.

January 21, 2015

ER doctor discusses role in Ebola patient's initial misdiagnosis.

December 17, 2014

View More

See More About The Topic

Neonatology and Intensive Care

Role of the Media

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364