National CEPOD has repeatedly emphasised the need for the development
of multi-professional and multidisciplinary teams to provide
optimum care for the most seriously ill patients. In this report,
based on deaths within three days of an intervention, NCEPOD
looks at how far team working has developed and, most particularly,
at weaknesses in the systems which create barriers to change.
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Report(560Kb) An Adobe Acrobat copy of this report is
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Executive
Summary(94Kb) An Adobe Acrobat copy of the summary of this report is available to view/save.
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Slides (1.28
Mb)
A slideshow presentation from the 2002 report launch is available to view/save.
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Individual Report
Sections
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Appendices(208KB)
Includes:
A Reported Deaths by Trust/Hospital Group
B Glossary
C Abbreviations
D NCEPOD Corporate Structure
E Data Collection & Review Method
F
Local Reporters and Study Contacts
G Participants (anaesthetists)
H Participants (consultant surgeons & gynaecologists)
I Exclusions
J Case Studies