by admin | Nov 29, 2018 | All Resources, Design
The reference event An 83-year-old man was admitted to hospital via the Emergency Department. He complained of feeling unwell for the previous few weeks, decreased appetite, vomiting after eating, loose stools and abdominal discomfort. A medical history of type 2...
by admin | Sep 20, 2016 | Design, Policy & Investigation, Secondary Care
The NHS strives to learn from its mistakes but is often criticised for failing to investigate incidents properly, and for failing to share lessons learned more widely. This report is a redacted report from a Never Event investigation. The Trust involved wishes to...
by admin | Mar 9, 2016 | Design, Secondary Care
Health technology hazards can come in many forms. They can be the result of IT-related problems such as improperly configured systems, incomplete data, or inappropriate malware protection. They can be caused by inappropriate human-device interaction, such as incorrect...
