This report investigated maternity services at Furness General Hospital from January 2004 to June 2013, and concludes the maternity unit was dysfunctional and that serious failures of clinical care led to unnecessary deaths of mothers and babies. It makes a series of recommendations for the wider NHS as well as Morecambe Bay.
Produced by the Canadian Patient Safety Institute, this report includes a literature review on effective teamwork and communication in healthcare, a needs assessment of Canadian healthcare organisations, a review of teamwork and communication training programmes, and a consultation with national and international experts in teamwork and communication.
This report is based on interviewing 180 patients and families about their experience of transition to adult care. It includes key messages for commissioners about listening to young people and their families, following existing guidance, involving GPs earlier and recognising this as a key developmental phase.
Safety of medicines in the care home was a cross-sector partnership project, funded by the Department of Health, which aimed to improve the medicines pathway for residents in care homes.
Improving medication safety for people in care homes: thoughts and experiences from carers and relatives
This report from the Health Foundation collects together the testimony given by family and carers of people living in a care home, specifically around issues of medication safety.