Good practice management of the antenatal CTG
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.
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Case story: Undiagnosed breech presentation in advanced labour
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.
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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.
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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.
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Case Story: Antenatal Cardiotocograph (CTG) Interpretation
This case story is illustrative, 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?
• Who could I share this with?
• What can we learn from this?
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Case Story – Group B Streptococcus (GBS) in pregnancy and early onset infection in the neonate
Group B Streptococcus (GBS) in pregnancy and early onset infection in the neonate
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.
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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.