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.
A short film produced by Health Education England to support healthcare professionals in training and staff at all levels to report and respond to concerns about patient safety.
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.
An interview with Dr Kim Holt, Consultant Paediatrician who ‘blew the whistle’ on the Baby P case in Haringey. She also founded Patients First, which is a support group for whistle-blowers.
She discusses her experience and those of other health professionals who have been “whistle-blowers”.
She discusses the need to change the system so that clinical staff feel empowered to speak up.
Midwifery 2020 has set out to develop an informed vision of the contribution midwives will make to achieving quality, cost-effective maternity services for women, babies and families across the United Kingdom.
Primary care Identification and Referral to Improve Safety of women experiencing domestic violence (IRIS): protocol for a pragmatic cluster randomised controlled trial
This is the first European randomised controlled trial of an intervention to improve the health care response to domestic violence.
In this paper, written mainly for obstetricians and midwives with experience of intrapartum fetal monitoring, consultant obstetrician Mr Sholapurkar gives a detailed outline of the main approaches to intrapartum fetal monitoring and details why it is so critical to safe maternity care. He considers some of the controversies regarding its evidence base and examines future developments in fetal monitoring.
This paper highlights the increased risk of domestic violence in pregnancy and discusses practical approaches to increase its recognition and management to improve the safety of women and children in this vulnerable period. These include embedding routine enquiry into practice and responses to reduce risk once domestic violence is reported or suspected.