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 concordat represents an agreement between key NHS organisations, regulators and professional bodies to support and embed human factors approaches to patient safety across the NHS. This is a significant document that lays out the value of human factors to the NHS, details the commitments that are being made by influential NHS organisations, and includes human factors case studies to highlight the importance of this work in patient safety.
This research scan from the Health Foundation describes studies examining the link between safety culture or climate and patient outcomes. It asks: what evidence is available about the link between safety culture or climate and patient outcomes?