Browse resources for Safety and Learning
Report
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. …
Video
Duty of candour animation
Our duty of candour animation offers guidance on the importance of being open and honest. Being open and honest with patients and those close to them is always the right thing to do and is often referred to as the duty of candour. We have …
Leaflet
Extravasation
From 1 April 2010 until 1 December 2021 NHS Resolution received 467 claims relating to extravasation injuries. Of those 467 claims, 214 have settled with damages and 112 have closed with nil damages. This has cost the National Health Service (NHS) 16 million pounds. This …
Case story
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? …
Case story
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.
Case story
Intermittent auscultation (IA) of the fetal heart rate in the second stage of labour
This case story is fictional but is a reflection of cases submitted to the NHS Resolution Early Notification scheme. The purpose is to share the experience of those involved to help prevent similar occurrences happening to patients, families and staff. It should prompt organisations to …
Leaflet
Heparin and anticoagulants
From 1 April 2015 until 31 March 2020 NHS Resolution received 373 claims relating to heparin and anticoagulant medication errors. Out of these 373 claims, 104 were settled with damages paid, 114 without merit and 155 remain open. The total cost of closed claims is …
Leaflet
Maternity medication errors
NHS Resolution received 55 claims relating to medication errors in maternity claims between 1st April 2015 and 31st March 2020. Out of these 55 claims, 22 were settled with damages paid, 13 without merit and 20 remain open. The analysis held within this leaflet only …
