Specialties in Practitioner Performance Advice cases: Key themes and use of our services
In this Insight publication we draw from our unique position to share the range of concerns about practitioner performance across the NHS. We provide support and focused analysis of our casework of secondary care specialties from 2018/19 to 2022/23, which make up the majority of our cases.
Maternity team reviews case study
This illustrative study features a multi-disciplinary maternity team suffering from conflict, key leadership vacancies and individual poor behaviour and looks at why and how a team review was undertaken, its findings and next steps.
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Recognising and avoiding significant maternal and neonatal hyponatraemia
This case story is illustrative based on a range of examples of real events. 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: • …
Maternity
Learners access the eLearning module through the elearning for health platform.
Maternity insights: closing the loop, learning from harm
NHS Resolution is delighted to announce the launch of its first, innovative eLearning module that focuses on learning from the significant avoidable harm that can occur during the antenatal and postnatal care of mothers and their babies and is seen in the cases notified to …
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Just and learning culture charter
Our Just and learning culture charter has been developed as a resource to support the creation of a person-centred workplace that is compassionate, safe and fair when care in the NHS goes wrong. It evolved out of our first Being fair publication in 2019 and …
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Management of hyper-stimulation and fetal bradycardia case story
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? …
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Collaborate to improve maternity care conference – Recording of the panel discussion
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. …
