Be your own coroner: an audit of 500 consecutive deaths in a general practice.

Hart, June; Humphreys, Christopher

doi:10.1136/bmj.294.6576.871

Cited by 30 publications

(19 citation statements)

References 3 publications

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“…In primary care, for instance, there are studies of prescribing, referrals, deaths, complaints and medical negligence. [24][25][26][27] Within hospitals, studies have been carried out in intensive care, 28 anaesthesia 29,30 and paediatrics. 31 Many of these studies refer to the original paper on critical incidents 32 and to previous studies using the technique.…”

Section: The Investigation and Analysis Of Clinical Incidents In Healmentioning

confidence: 99%

The investigation and analysis of critical incidents and adverse events in healthcare

Woloshynowych

Rogers²,

Taylor‐Adams³

et al. 2005

Health Technol Assess

118

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Section: The Investigation and Analysis Of Clinical Incidents In Healmentioning

confidence: 99%

The investigation and analysis of critical incidents and adverse events in healthcare

Woloshynowych

Rogers²,

Taylor‐Adams³

et al. 2005

Health Technol Assess

118

View full text Add to dashboard Cite

show abstract

“…Whether the final outcome could have been altered by an earlier correct diagnosis remains questionable, but patients and relatives may have perceived the OOHPC as not being up to adequate standards. It is therefore unfortunate and inappropriate that deaths under such circumstances are almost never reported back to the attending doctors, who undoubtedly would have gained useful clinical experience and insight from learning of them (13).…”

Section: Discussionmentioning

confidence: 99%

Out-of-hours primary care and the patients who die: A survey of deaths after contact with a suburban primary care out-of-hours service

Kristoffersen

2000

Scandinavian Journal of Primary Health Care

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“…16 Provided there was an external check that this was taking place, this might have cut short the horror of the recent serial murders in Manchester, which must have seriously damaged the trust that patients have in their doctor. Internal audit must operate in harmony with external audit so that local and national standards and policies are congruent.…”

Section: Internal Audit Systemsmentioning

confidence: 99%

The 'self-organising system' as a model for primary health care - can local autonomy and centralisation co-exist?

PRITCHARD¹

2002

Journal of Innovation in Health Informatics

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A balance is needed between central control of primary care and local autonomy. The aim should be to maximise local autonomy but conform to central policies and guidelines where appropriate. The British NHS has mistakenly tried to exercise strict control of professionals ('centralised micromanagement') and this has seriously eroded mutual trust and innovation. Self-organising systems involve circular processes that exist widely in nature, and primary care has the potential to be much more autonomous if feedback loops are developed at local level. This paper describes and discusses ways of enhancing self-organising and learning in primary care, in which new and emerging information technology will play a major part.

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Be your own coroner: an audit of 500 consecutive deaths in a general practice.

Abstract: General practitioners' medical records of a geographically defined population of about

Cited by 30 publications

References 3 publications

The investigation and analysis of critical incidents and adverse events in healthcare

The investigation and analysis of critical incidents and adverse events in healthcare

Out-of-hours primary care and the patients who die: A survey of deaths after contact with a suburban primary care out-of-hours service

The 'self-organising system' as a model for primary health care - can local autonomy and centralisation co-exist?

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