Webinar: Patient Safety – More than a Promise: A review of the 2023 UK Parliamentary and Health Service Ombudsman Report into patient safety incidents that resulted in avoidable deaths within the NHS

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In June of this year, the UK Parliamentary and Health Service Ombudsman released a report summarizing their findings of their review of 22 patient safety incidents that were identified as avoidable deaths, with the aim of highlighting failings in systems and, support learning from the analysis.

The report identified repeated broad themes of clinical failings leading to these deaths and also several factors that contributed to compounded harm experienced by the families of these patients following the deaths of their loved ones.

This webinar presents a summary of these clinical failings, and the resulting compounded harm, that provide learnings that are applicable across all of the health and social care sectors internationally.

Webinar Recording

Webinar Podcast

HCI Talks Regulation & Quality and Safety of Care · Ep 41: Patient Safety: More than a Promise


Oonagh Gilvarry

Chief Research Officer

Phone: +353 (0)93 36126

Email: info@hci.care

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For more information contact info@hci.care or Phone +353 (0)1 6292559.