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Public inquiries, patient safety and the implementation gap

Helen Hughes
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DOI: https://doi.org/10.7861/fhj.2023-FR103
Future Healthc J March 2023
Helen Hughes
APatient Safety Learning
Roles: chief executive
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    Table 1.

    Key patient safety inquiries and reviews in England since 2013

    Inquiry/ReviewPublication year
    Berwick review into patient safety2013
    The Morecambe Bay Investigation2015
    Independent review into Liverpool Community Health NHS Trust2018
    The Infected Blood Inquiry2018
    The Gosport Independent Panel2018
    The Independent Inquiry into issues raised by Paterson2020
    The Independent Medicines and Medical Devices Safety Review2020
    The Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust2022
    The investigation into maternity and neonatal services at East Kent Hospitals NHS Foundation Trust2022
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Public inquiries, patient safety and the implementation gap
Helen Hughes
Future Healthc J Mar 2023, 10 (1) 7-9; DOI: 10.7861/fhj.2023-FR103

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Public inquiries, patient safety and the implementation gap
Helen Hughes
Future Healthc J Mar 2023, 10 (1) 7-9; DOI: 10.7861/fhj.2023-FR103
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    • ABSTRACT
    • Introduction
    • The implementation gap
    • Inquiries and patient safety
    • Recurring themes
    • Barriers to implementing recommendations
    • Failures in monitoring and evaluation
    • Learning from inquiries
    • References
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