We carry out up to 30 national investigations each year.
We carry out up to 30 national investigations each year and make safety recommendations to improve the healthcare system.
Any issues for potential investigation can be shared by patients, family members, carers, concerned members of staff, as well as providers and regulators. Our decision to start an investigation could relate to a single event, a series of events, or even an area we've identified through other investigations.
Every case is assessed against our criteria. Even if it doesn’t meet those requirements, we always look at the broader picture. This means that every case is logged in our database and is regularly reviewed. Data and information are crucial to improvement, as it helps us to identify consistent themes and emerging patterns of safety issues over time.
We believe that the most effective learning happens through thorough investigations that produce meaningful safety recommendations that can be shared at the widest level. By not attributing blame or liability, asking the right questions, and gaining different perspectives we can reduce the risk of something similar happening in the future.