Team reviews case study
This illustrative study features an obstetrics and gynaecology team suffering division and poor team cohesion and looks at why and how a team review was undertaken, its findings and next steps.
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? …
Read more [Continue reading] Management of hyper-stimulation and fetal bradycardia 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.
Read more [Continue reading] Case story: Neonatal hypoglycaemia
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? …
Read more [Continue reading] Case story: Good practice in managing umbilical cord prolapse
Delay in recognising placental abruption
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 …
Read more [Continue reading] Delay in recognising placental abruption
Case story: Intermittent auscultation (IA) of the fetal heart rate in the second stage of labour
This case story is fictional but is a reflection of cases submitted to the NHS Resolution Early Notification Scheme. The purpose is to share the experience of those involved to help prevent similar occurrences happening to patients, families and staff. It should prompt organisations to …




