ArticleJournal of the Royal Society of Medicine2014
Learning from failure: the need for independent safety investigation in healthcare.
Article in Journal of the Royal Society of Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed.
- Do patient safety incident investigations align with systems thinking? An analysis of contributing factors and recommendations.BMJ quality & safety · 2026Article
- Adapting the modified WHO safety checklist for non-operating room anesthesia: A Quality improvement project.Pakistan journal of medical sciences · 2026Article
- How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch.Journal of health services research & policy · 2025Article
- Decades of failure to prevent harm to patients-where are we going wrong? A mixed methods study of the perspectives of health services staff across Australia and internationally.Frontiers in health services · 2025Article
- The Naked Neurosurgeon and the Anatomy of a Complication.Acta neurochirurgica. Supplement · 2025Article
- Involvement in serious incident investigations: a qualitative documentary analysis of NHS trust policies in England.BMC health services research · 2024Article
- Morbidity and Mortality Conferences in Internal Medicine Specialty Training in Japan: A Nationwide Cross-sectional Study.Internal medicine (Tokyo, Japan) · 2024Article
- Observation of non-recommended (harmful) intrapartum practices among obstetric care providers in public hospitals in southern Ethiopia, 2023.PLOS global public health · 2024Article
- Learning does not just happen: establishing learning principles for tools to translate resilience into practice, based on a participatory approach.BMC health services research · 2023Article
- A changing view on patient safety: how the Healthcare Safety Investigation Branch has brought system-focused investigations to the fore.Future healthcare journal · 2023Article
- Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation.Frontiers in public health · 2023Article
- Do national policies for complaint handling in English hospitals support quality improvement? Lessons from a case study.Journal of the Royal Society of Medicine · 2022Article
- Humanizing harm: Using a restorative approach to heal and learn from adverse events.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Evaluating a system-wide, safety investigation in healthcare course in Norway: a qualitative study.BMJ open · 2022Article
- Article
- Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.Journal of the Royal Society of Medicine · 2019Review
- Patient safety regulation in the NHS: mapping the regulatory landscape of healthcare.BMJ open · 2019Article
- Can we import improvements from industry to healthcare?BMJ (Clinical research ed.) · 2019Article
- Safety analysis over time: seven major changes to adverse event investigation.Implementation science : IS · 2017Article
- Towards optimising local reviews of severe incidents in maternity care: messages from a comparison of local and external reviews.BMJ quality & safety · 2017Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.