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.
The National Diabetes Inpatient Audit (NaDIA) is commissioned by the Healthcare Quality Improvement Partnership (HQIP) and delivered by the Health and Social Care Information Centre, working with Diabetes UK.
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 NCEPOD report from 2010 presents a review of a sample of deaths following emergency and elective surgery in older people.
This report produced by The Royal College of Surgeons of England and Department of Health describes the key issues and standards related to the higher risk general surgery of the frail older patient.
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?