Examining a major failing in another health care service

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Assignment:

Imagine you are working as a safety and quality partner for a health care organisation. You have been asked to report and presentation to the executive team to demonstrate the importance of a safety and quality agenda, emphasising the value of organisational culture. The approach has been set and it has been decided to show the value of a safety and quality agenda by examining a major failing in another health care service.

As such select one of the following public inquiries:

  • Bristol Royal Infirmary

And summarise the inquiry in a report , covering the following areas:

  • What happened?
  • How it happened?
  • Who was involved?
  • Why did it go undetected for a period of time?
  • What recommendations were made?
  • What group(s) of professionals were involved?
  • Who discovered the problem?

Reference no: EM133578428

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