Browse resources for Safety and Learning
Leaflet
Maternity pressure ulcers
This leaflet draws attention to the number and cost of pressure ulcers suffered by women in maternity units. It provides information on common themes, their impact and what you can do to prevent them.
Leaflet
Read saying sorry
Saying sorry meaningfully when things go wrong is vital for everyone involved in an incident, including the patient, their family, carers, and the staff that care for them. This leaflet is part of our work on duty of candour.
Report
Five years of cerebral palsy claims
This report provides an in-depth examination of the causes of these rare but tragic incidents and the investigations that follow them. For the purposes of this study we focused on 50 cases of cerebral palsy where the incidents occurred between 2012 and 2016 and a …
Leaflet
Preventing needlestick injuries
We received 1,833 incident claims for needlestick injuries between 2012-2017 (fiscal years). Of these, the 1,213 successful claims cost the NHS £4,077,441. This leaflet looks to shed light on some of the claims data we hold on needlestick injury claims, how they are caused and …
Leaflet
Read the benefits of supported decision making (consent)
This leaflet provides context for claims cases, the importance of Nadine’s story and what patient-centred consent looks like.
Case story
Better joint working and specialist help benefits patients, families and the NHS
This case story highlights the importance of effective integrated working for patients with vulnerabilities.
Case story
Ensuring consistent emergency response to convulsions in children
This case story highlights the need for a consistent emergency response to convulsions in children, looking specifically at sudden unexpected death in epilepsy.
Case story
Missed opportunities to prevent cardiac arrest and subsequent severe hypoxic brain injury
This case story highlights the missed opportunities that could have prevented a cardiac arrest and subsequent severe hypoxic brain injury in an intensive care patient.
