The College has recently reviewed and refreshed our patient safety bulletins, to improve the layout and content and bring a consistent format to all future bulletins.

Reflection is a valuable learning tool and constitutes high-quality CPD. The new bulletins are intended to provide you with opportunities to reflect on your own practices, as well as the experiences of others, to draw out learning and development opportunities.

You can download the patient safety bulletins from our publications page. You can also submit your own experiences as case studies.  

Share your knowledge and experiences and earn CPD

Help the College's patient safety work by sharing your knowledge and experiences with colleagues via a case study, the best of which will be published as patient safety bulletins. If you send us your case studies, you may claim 1 CPD credit per case study and enter them in your online CPD portfolio.

We're looking for case study contributions from authors that reflect on something that has made an impact on patient safety. Your case study should describe patient care that went well or not so well, and why. We would also like to hear about:

• how this was approached and resolved, either on an individual or team basis and/or by the wider system
• what was learned 
• how this was shared.

JULY CASE STUDY

‘A colleague casts an eye’ is a submitted case study which may be viewed by clicking the image to the top right.

All autopsy reports produced by Home Office Registered forensic pathologists following the investigation of a suspicious death are subjected to a final review before being released to the police and coroner.  The review is known as a Critical Conclusions Check
(CCC) and is designed to ensure that the conclusions drawn from the pathological findings are reasonable and that the report is internally consistent.  Only the report is reviewed and the conclusions are considered by an independent forensic pathologist.  If the conclusions that have been drawn from the facts described in the report are judged to be reasonable, then a certificate is issued and the report can be released.  In addition to this final test, the reviewing pathologist usually points out typographical errors and other aspects of the case which the first pathologist may want to consider further.  This simple process helps protect the integrity of the Criminal Justice System and also enhances the quality of issued reports

Download the template

We have provided a template for you to complete with details of your case study. You can submit your case study to the Professional Standards team via [email protected], and also enter it in your online CPD portfolio.

Please ensure that your employing organisation is aware of the incident.