Risk of surgical swabs being left inside patients
We've investigated the risk of unintentional ‘retained’ swabs after invasive procedures. The i…
Read moreThe 'Learning Response Review and Improvement Tool' is intended to be used by:
Development of this tool was informed by a research study which identified ‘traps to avoid’ in safety investigations and report writing.
The tool was originally developed by NHS Scotland. It has been further refined in collaboration with the Health Services Safety Investigations Body (whilst we were the Healthcare Safety Investigation Branch) and NHS England after being piloted in approximately 20 NHS trusts and healthcare organisations in England.
The content validity of the tool is currently being assessed.
Download the tool (Word document)
We've investigated the risk of unintentional ‘retained’ swabs after invasive procedures. The i…
Read moreWe’ve just launched an investigation to look at fatigue risk in healthcare and its impact on patien…
Read moreOur latest investigation has found that not involving temporary NHS staff in serious incident inves…
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