Case Story: Antenatal Cardiotocograph (CTG) Interpretation
This case story is illustrative, based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff. As you read about this incident, please ask yourself:
• Could this happen in my organisation?
• Who could I share this with?
• What can we learn from this?
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Drafting and Reviewing Terms of Reference for a formal investigation (under MHPS)
This presentation has been designed to help you write good Terms of Reference or at the very least recognise a set of poor ones. We’ll tell you about: How to go about creating ‘good’ terms of reference How to avoid language that might bias the …
Bullying and harassment reported in our advice cases: an overview
It is a sad fact that bullying and harassment are reported to be prevalent issues within the health and social care sector. The 2019 NHS staff survey showed that 19% of staff have experienced bullying or harassment in the last year from colleagues. According to …
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Good practice in managing umbilical cord prolapse
This case story is based on real events and NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff. As you read about this incident, please ask yourself: Could this happen in my organisation? …
Read more [Continue reading] Good practice in managing umbilical cord prolapse
Case story: Neonatal hypoglycaemia
This case story is illustrative and is based on combined examples of real events. NHS Resolution is sharing the experiences of those involved to help prevent similar events happening to patients, families and staff in the future.
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Team reviews retrospective
NHS Resolution’s Practitioner Performance Advice service has developed its team reviews over the last five years. Where concerns relate to how members of a clinical team interact with each other, we can undertake a team review to: identify any barriers to resolving the issues which …
Factsheet 5 – trust and authority claims data 2020/21
This factsheet provides information about trust and health authority claims we handled in 2020/21.
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Case story: Undiagnosed breech presentation in advanced labour
This case story is illustrative and is based on combined examples of real events. NHS Resolution is sharing the experiences of those involved to help prevent similar events happening to patients, families and staff in the future.
Read more [Continue reading] Case story: Undiagnosed breech presentation in advanced labour