Safety and Learning resources

Case story

Understanding the risk of maternal and neonatal hyponatraemia

This case story is fictional but based on real events and lessons learnt through cases referred to NHS Resolution’s Early Notification scheme. We are sharing the experience to improve the quality of care provided to all patients, families and staff.

Case story

Learning lessons in maternity from a recent Supreme Court ruling

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.

Video

An introduction to learning from suicide-related claims

This video is an introduction to our thematic review that presents a detailed analysis of claims made after an individual has attempted to take their life.

Report

Learning from suicide-related claims

This thematic review presents a detailed analysis of claims made after an individual has attempted to take their life. Claims relating to completed suicide and attempted suicide are reviewed, regardless of whether the claim resulted in financial compensation. It identifies common problems with care and provides recommendations for improvement to support service delivery.

Case story

Managing fetal heart rate monitoring

This case story highlights the importance of accurate fetal heart rate monitoring and timely escalation. Our case stories are based on real events. We are sharing the experience of those involved to help prevent a similar occurrence happening to patients and staff.

Leaflet

Learning from suicide-related claims – the summary

This leaflet is a summary of our thematic review that presents a detailed analysis of claims made after an individual has attempted to take their life.

Case story

Good practice in sepsis

This case story is based on real events and NHS Resolution is sharing the experience to improve the quality of care provided to all patients, families and staff.

Leaflet

Neonatal jaundice

Neonatal jaundice is a common condition which is usually harmless, requires no treatment or responds to phototherapy. On rare but tragic occasions it can cause long-term brain damage with physical and psychological consequences for the family, or death.