The Report of the Morecambe Bay Investigation

The Report of the Morecambe Bay Investigation PDF

Author: Bill Kirkup

Publisher:

Published: 2015

Total Pages: 230

ISBN-13:

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For the great majority, pregnancy and childbirth should be a positive and happy experience that culminates in a healthy mother and baby. This means, however, that on those occasions when things do go wrong, the effects are even more devastating than in other areas of healthcare. Maternity care must reconcile these dual aspects in order to be safe, effective and responsive. When it does not, the consequences may be stark. This Report details a distressing chain of events that began with serious failures of clinical care in the maternity unit at Furness General Hospital, part of what became the University Hospitals of Morecambe Bay NHS Foundation Trust. The result was avoidable harm to mothers and babies, including tragic and unnecessary deaths. What followed was a pattern of failure to recognise the nature and severity of the problem, with, in some cases, denial that any problem existed, and a series of missed opportunities to intervene that involved almost every level of the NHS. These events have finally been brought to light thanks to the efforts of some diligent and courageous families, who persistently refused to accept what they were being told. Those families deserve great credit. This Report includes detailed and damning criticisms of the maternity unit, the Trust and the regulatory and supervisory system. This Report sets out why that is and how it could have been avoided.

Medicine, patients and the law

Medicine, patients and the law PDF

Author: Emma Cave

Publisher: Manchester University Press

Published: 2023-06-06

Total Pages: 729

ISBN-13: 1526157152

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Embryo research, cloning, assisted conception, neonatal care, pandemic vaccine development, saviour siblings, organ transplants, drug trials – modern developments have transformed the field of medicine almost beyond recognition in recent decades and the law struggles to keep up. In this highly acclaimed and very accessible book Margaret Brazier, Emma Cave and Rob Heywood provide an incisive survey of the legal situation in areas as diverse as fertility treatment, patient consent, assisted dying, malpractice and medical privacy. The seventh edition of this book has been fully revised and updated to cover the latest cases, Brexit-related regulatory reform and COVID-19 pandemic measures. Essential reading for healthcare professionals, lecturers, medical and law students, this book is of relevance to all whose perusal of the daily news causes wonder, hope and consternation at the advances and limitations of medicine, patients and the law.

HC 886 - Investigating Clinical Incidents in the NHS

HC 886 - Investigating Clinical Incidents in the NHS PDF

Author: Great Britain. Parliament. House of Commons. Public Administration Select Committee

Publisher: The Stationery Office

Published: 2015-03-27

Total Pages: 75

ISBN-13: 0215085752

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PASC is inquiring into how incidents of clinical failure in the NHS are investigated - and how subsequent complaints are handled. The Committee is considering ways that untoward clinical incidents could be investigated immediately at a local level, so that facts and evidence are established early, without the need to find blame, and regardless of whether a complaint has been raised. It is hoped that this work will reduce the need for complaints to go to the Parliamentary and Health Services Ombudsman (PHSO), whose main role relates to administrative and service failures in the NHS in England.

Research Handbook on Patient Safety and the Law

Research Handbook on Patient Safety and the Law PDF

Author: John Tingle

Publisher: Edward Elgar Publishing

Published: 2023-12-11

Total Pages: 407

ISBN-13: 1802207066

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Despite recurring efforts, a gap exists across a variety of contexts between the protection of patients’ safety in theory and in practice. This timely Research Handbook highlights these critical issues and suggests both legal and policy changes are necessary to better protect patients’ safety.

Governance and Leadership

Governance and Leadership PDF

Author: Naomi J. Fulop

Publisher: Cambridge University Press

Published: 2023-10-31

Total Pages: 88

ISBN-13: 1009309560

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Lessons from service and system failures describe how governance and leadership each play a pivotal role in high-quality, safe care. This title is also available as Open Access on Cambridge Core.

Problem Solving for Healthcare Workers

Problem Solving for Healthcare Workers PDF

Author: John Michael Collins

Publisher: Taylor & Francis

Published: 2018-01-02

Total Pages: 238

ISBN-13: 1351394738

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While most healthcare facilities have an extremely high success rate at the most challenging lifesaving work and we all know of friends and relatives who have had supreme care, mistakes are still made and patients’ lives have been put at risk and lost. How often have we heard politicians say after some disastrous report, "Lessons must be learned", but what does this really mean. Will responsible parties carry out a careful cause and effect analysis and methodically get to the root causes of the problem? Will sufficient steps be taken to permanently eradicate those causes and provide a permanent solution so that the problem will not reoccur? This is what is done in the aviation industry with the result that air travel is very safe. The low accident rate is achieved by studying the causes and using the methods of continuous improvement explained in this book. These methods are now becoming better known in the medical profession have been recommended in recent reports but are perhaps misunderstood at operational levels. This book is a basic level manual for those who have never been involved in any form of quality improvement project and is also suitable as a refresher for anyone wishing to familiarize themselves with the various techniques discussed. The aim of this book is to explain what continuous improvement is and why it’s needed; explain how individual departments can explain how and why continuous improvement is important, and helps readers recognize quality control methods in their own workplace and understand how to contribute to existing continuous improvement activities. While many of the case studies and examples are from the NHS, the author includes similar examples from around the world.

The Best Country to Give Birth?

The Best Country to Give Birth? PDF

Author: Linda Bryder

Publisher: Auckland University Press

Published: 2023-11-09

Total Pages: 445

ISBN-13: 1776711173

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&‘ In 2012, following his investigation of the deaths of two babies in childbirth at Waikato Hospital, Hamilton coroner Gordon Matenga asked, &‘ Does New Zealand have the safe, world-leading system the Government says we do, or are we losing babies because the balance has swung too far towards the idea that because childbirth is natural, then the philosophy of “ non-intervention” is best?' &‘ Babies' deaths reignite maternity row' , the New Zealand Herald announced.' — from the introduction by Linda BryderIs New Zealand &‘ the best country to give birth' ? Historian of medicine Linda Bryder explores how New Zealand developed a unique approach to the role of midwives in childbirth in the 1990s, and analyses the consequences of that change for mothers and babies.The Best Country to Give Birth? traces the genesis of the 1990 Nurses Amendment Act, which allowed midwives to practise alone in the community, back to the homebirth movement of the 1970s, and explores the aftermath of the Act including the withdrawal of GPs from maternity care. In investigating the consequences of the reforms, it uncovers repeated criticism of services &– and what were deemed preventable deaths &– from coroners, commissioners for health and disability, other health professionals including some midwives, academic researchers, and parents and families.How and why does maternity care in Aotearoa differ from other countries? How has it shaped the equitable care of our mothers and babies? Why have critical reports had so little impact? This is a major historical account of an issue at the heart of our maternity care.

The Ombudsman in the Modern State

The Ombudsman in the Modern State PDF

Author: Matthew Groves

Publisher: Bloomsbury Publishing

Published: 2022-04-07

Total Pages: 411

ISBN-13: 1509943269

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Ombudsmen are a global phenomenon. They are also a critical part of the public law frameworks of modern liberal democracies. This is the first edited collection to examine the place of the ombudsman in the modern state. It brings together key international scholars to discuss current and future challenges for the Ombudsman institution and the systems of government within which they operate. The book is international in scope with authors heralding from most continents - Canada, the Netherlands, the United Kingdom, Australia, New Zealand, Hong Kong, South Africa, Germany, and Austria. This global analysis is both in-depth and expansive in its coverage of the operation of Ombudsmen across civil and common law legal systems. The book has two key themes: - The enduring question of the location and operation of Ombudsmen within public law systems in a changing state, and - The challenges faced by Ombudsmen in contemporary governance. This collection adds to the public law scholarship by addressing a common problem faced by all avenues of public law review – the evolving nature of modern public administration.

Mayes' Midwifery E-Book

Mayes' Midwifery E-Book PDF

Author: Sue Macdonald

Publisher: Elsevier Health Sciences

Published: 2017-06-03

Total Pages: 1220

ISBN-13: 0702063363

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A new edition of a classic textbook fully updated to meet the needs of today’s midwifery student. Now available for the first time in full color, the 15th edition of Mayes Midwifery has an enhanced artwork program and comes with an extensive website which provides 600 MCQs and wide selection of case studies and reflective activities; a downloadable image bank assists with essay and assignment preparation. New edition of a classic textbook updated and designed for today’s midwifery student! Chapters authored by experts in their field, including midwifery academics and clinicians as well as allied professionals such as researchers, physiotherapists, neonatal nurse specialists, social scientists and legal experts Evidence and research based throughout to help facilitate safe clinical practice Learning outcomes and key points help readers structure their study and recap on what they have learned Reflective activities encourage the application of theory to practice Contains practice based tools and checklists Presents and discusses the latest national and international guidelines Associated website with over 600 MCQs, reflective activities to encourage the application of theory to practice, case studies and additional learning tools Downloadable image bank to assist readers with essay preparation and other assignments Suitable for use in normal community and midwife led arenas, high tech environments and more rural areas of clinical practice Brand new design - incorporating helpful learning features - aids reader engagement and retention of facts Updated artwork program helps clarify complex physiological processes and other challenging concepts