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.
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.
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.
Read more [Continue reading] Ensuring consistent emergency response to convulsions in children
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.



