Evidence map›Paper›PMID 39831148›Full record

ArticleFrontiers in health services2024

Humanizing processes after harm part 1: patient safety incident investigations, litigation and the experiences of those affected.

Lauren Ramsey, Laura Sheard, Justin Waring, Siobhan McHugh, Ruth Simms-Ellis, Gemma Louch, Katherine Ludwin, Jane K O'Hara

Abstract read
In one paragraph

Article in Frontiers in health services, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Humanising Government Inquiry: A Realist Examination of a Restorative Approach to Surgical Mesh Harm in Aotearoa New Zealand.Health expectations : an international journal of public participation in health care and health policy · 2026
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  5. What Do Consumers Need Before, During and After a Patient Safety Incident Review? A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lauren RamseyYorkshire and Humber Patient Safety Research Collaboration, Bradford Institute for Health Research, Bradford, United Kingdom.
Laura SheardYork Trials Unit, University of York, York, United Kingdom.
Justin WaringHealth Services Management Centre, University of Birmingham, Birmingham, United Kingdom.
Siobhan McHughSchool of Humanities and Social Sciences, Leeds Beckett University, Leeds, United Kingdom.
Ruth Simms-EllisYorkshire and Humber Patient Safety Research Collaboration, Bradford Institute for Health Research, Bradford, United Kingdom.
Gemma LouchSchool of Healthcare, University of Leeds, Leeds, United Kingdom.
Katherine LudwinResearch and Innovation, Midlands Partnership NHS Foundation Trust, Stafford, United Kingdom.
Jane K O'HaraSchool of Healthcare, University of Leeds, Leeds, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is a growing international policy focus on involving those affected by healthcare safety incidents, in subsequent investigations. Nonetheless, there remains little UK-based evidence exploring how this relates to the experiences of those affected over time, including the factors influencing decisions to litigate. Aims: We aimed to explore the experiences of patients, families, staff and legal representatives affected by safety incidents over time, and the factors influencing decisions to litigate. Methods: Participants were purposively recruited via (i) communication from four NHS hospital Trusts or an independent national investigator in England, (ii) relevant charitable organizations, (iii) social media, and (iv) word of mouth to take part in a qualitative semi-structured interview study. Data were analyzed using an inductive reflexive thematic approach. Findings: 42 people with personal or professional experience of safety incident investigations participated, comprising patients and families ( Conclusions: Incident investigations fail to acknowledge and address emotional distress experienced by all affected, resulting in compounded harm. To address this, we propose five key recommendations, to: (1) prioritize the needs of those affected by incidents, (2) overcome culturally engrained fears of litigation to re-humanize processes and reduce rates of unnecessary litigation, (3) recognize and value the emotionally laborious and skilled work of investigators (4) inform and support those affected, (5) proceed in ways that recognize and seek to reduce social inequities.

Indexed as

healthcare harmhealthcare litigationpatient involvementpatient safetyqualitative researchsafety investigationsstaff involvement

Identifiers

PMID39831148
PMCPMC11739161

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.