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Safety and Learning resources

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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 …



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.


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 …


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 …

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