serious incidents

Serious Incident Investigations

Ushering in a new era of serious incident investigation in the healthcare sector  

Serious incident investigations – time for a change? Healthcare involving serious incident investigations is a complex world, where time is a luxury frontline staff simply don’t have. That’s something we can all agree on. And with budgets being pinched, the value gleaned from each pound spent is being scrutinised to the nth degree. So, of …

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recommendations following the paterson inquiry

The consequences of the Paterson inquiry

What does the Paterson inquiry mean for independent healthcare? One consequence of the terms of reference for the Paterson inquiry that was announced at the end of March will be a very public ‘league table’ comparing quality and safety governance in the private health sector with the NHS. Improving the quality and transparency of independent …

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Put it right: serious incident investigations

Put it right: serious incident investigations

Serious incidents The current NHS England national serious incident framework outlines the need to make sure that investigations into serious incidents are carried out for the purposes of learning to prevent recurrence. Despite this guidance, there is evidence that the same type of incident happens again and again across the NHS. In our experience, there …

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Serious incident investigation – care homes in Devon

Serious incident investigation – care homes in Devon

Serious incident investigation In 2011, the Devon and Cornwall Police launched an investigation into alleged abuse at several care homes across Devon, which had been run by Atlas Projects Ltd for people with learning disabilities. Looking into serious incidents, this investigation in October 2013, the police commissioned Verita to review the care provided to residents at …

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Verita is an independent team providing investigations consultancy work with organisations in a variety of sectors throughout the UK

Safety culture – learning from serious incidents

Serious incidents The tragic crash of the Germanwings flight 9525 from Barcelona to Dusseldorf got me thinking about how different organisations learn from serious incidents and how quickly they are able to adapt and put barriers in place to reduce the likelihood of similar disasters. The Germanwings plane crashed on 24 March 2015 and in …

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