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Healthcare Professional Alert Notices (HPANs): insights from nine years of managing the scheme

This publication looks at key features from a review of all requests for an HPAN we have received since 2013, as part of our strategic commitment to share our data and insights to reduce risk and help improve the healthcare system. In sharing this information we aim to raise awareness of the importance of the HPAN scheme as a safety measure.

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Extravasation

Extravasation is the accidental leakage of any liquid from a vein into the surrounding tissues when administering solutions such as medication or fluids, which can cause serious harm to the patient. From 1 April 2011 until 31 March 2021 NHS Resolution received 444 claims relating …

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Behavioural Assessments: findings from an in-depth qualitative and quantitative analysis

NHS Resolution’s Practitioner Performance Advice service has found that 70% of cases discussed with us by employers/contracting organisations have an element of concern relating to behaviour and/or conduct of the doctor, dentist or pharmacist who is the subject of the request for advice (see our …

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Venous thromboembolism

From 1 April 2012 until 31 March 2022, we documented 687 closed claims relating to Venous Thromboembolism (VTE) injuries. Of these, 411 claims were settled with damages paid, costing the NHS over £23 million. VTE is a significant cause of mortality, long-term disability and long-lasting …

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Diabetes and lower limb complications: A thematic review of clinical negligence claims

Since 2013/14, there has been a growth in the volume and value of clinical negligence claims involving patients with diabetes-related lower limb complications. The majority of claims have involved patients with a diabetic foot ulcer who went on to undergo a major lower limb amputation. …

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Collaborate to improve maternity care conference – Recordings between 09:30-11:15

On Monday 28 November, we held a face-to-face national maternity conference, Collaborate to improve maternity care: respond to, learn from and prevent harm, at the Royal College of Physicians. The conference ran from 09:30am-16:30pm. We were joined by representatives from maternity teams from across England. …

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