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Clinical care & patient safety pillar
Medication errors
Prescribing, dispensing, or administration errors involving medicines
98
Reports tagged with this theme
Sub-theme count: 13
PFD reports
98 reports
Louis Saunders
27 Feb 2026· East Sussex
Mental Health
Sean Williams
20 Feb 2026· Inner North London
Other
Rajwinder Singh
19 Feb 2026· Inner West London
State Custody
Martin Ormond
17 Feb 2026· Blackpool & Fylde
Hospital Death (Clinical Procedures and medical management)
Lyn Maher
3 Feb 2026· South Wales Central
Alcoholdrug and medication related deaths | Wales prevention of future deaths reports (2019 onwards)
Sidra Aliabase
21 Jan 2026· Inner West London
Child Death (from 2015)
Martin Bryant
19 Jan 2026· Essex
Suicide (from 2015)
Mohammed Choudhury
6 Jan 2026· Bedfordshire and Luton
Other
Valerie Gibson
17 Dec 2025· Sunderland
Hospital Death (Clinical Procedures and medical management)
Lee Eustace
15 Dec 2025· County of Devon, Plymouth and Torbay
Hospital Death (Clinical Procedures and medical management)
Antonio Galisi-Swallow
4 Dec 2025· West Yorkshire Eastern
Child Death (from 2015)
Anna Burns
19 Nov 2025· Wiltshire and Swindon
Alcohol drugs and medication
Paolino Amico
17 Nov 2025· Essex
Hospital Death (Clinical Procedures and medical management)
Tracey Oldfield
11 Nov 2025· Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management)
Alan Mitchell
10 Nov 2025· Cheshire
Alcoholdrug and medication
Stephen Neville
24 Oct 2025· Essex
Hospital Death (Clinical Procedures and medical management)
Amy Cross
22 Oct 2025· Avon
Alcoholdrug and medication related deaths | Community health care and emergency services
Katie Overd
15 Oct 2025· Manchester North
Alcoholdrug and medication related deaths | Community health care and emergency services
Thompson Elliott
14 Oct 2025· Sunderland
Care Home Health
Paula Doreen
14 Oct 2025· Inner South London
Alcoholdrug and medication related deaths | Hospital Death (Clinical Procedures and medical management)
Robert Simpson
12 Aug 2025· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Margaret McNaughton
1 Aug 2025· Black Country
Alcoholdrug and medication
Cain Donald
5 Jun 2025· of Oxfordshire.
Suicide (from 2015)
Nicholas J’Dourou
11 Feb 2025· Inner London North
Mental Health related deaths | Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015)
Leslie Hurwood
5 Feb 2025· of Northamptonshire.
Hospital Death (Clinical Procedures and medical management)
Brian Kneale
23 Jan 2025· of Blackpool & Fylde.
Hospital Death (Clinical Procedures and medical management)
Alexandra Roberts
2 Jan 2025· of Cheshire.
Alcoholdrug and medication
David Crompton
31 Dec 2024· of West Yorkshire (Eastern).
Alcoholdrug and medication
Oliver Billings
28 Nov 2024· Devon
Alcoholdrug and medication related deaths | Mental Health related deaths | Suicide (from 2015)
Yemisi Cielto-Opaleye
18 Nov 2024· Inner London North
Hospital Death (Clinical Procedures and medical management) related deaths | Alcoholdrug and medication related deaths | Mental Health
David Martin
8 Oct 2024· of Cornwall and the Isles of Scilly.
Hospital Death (Clinical Procedures and medical management)
Amanda Richardson
9 Sep 2024· West Yorkshire (Eastern)
Alcoholdrug and medication related deaths | State Custody
Rachel Gibson
30 Aug 2024· of Cambridgeshire and Peterborough
Hospital Death (Clinical Procedures and medical management)
Shahida Khan
24 Jul 2024· Hampshire, Portsmouth and Southampton
Care Home Health related deaths | Alcoholdrug and medication
Sandra Phillpott
12 Jul 2024· Blackpool & Fylde
Hospital Death (Clinical Procedures and medical management)
Ruth Eggleton
3 Jul 2024· Nottingham City and Nottinghamshire
Other
Debra Bates
28 Jun 2024· Derby and Derbyshire
Care Home Health
John Parry
27 Jun 2024· Leicester City and South Leicestershire
Hospital Death (Clinical Procedures and medical management)
Norman Leadbeater
27 Jun 2024· Manchester North
Hospital Death (Clinical Procedures and medical management)
Harry Vass
13 Jun 2024· Avon
Hospital Death (Clinical Procedures and medical management)
Louise Jones
12 Jun 2024· Cornwall and the Isles of Scilly
Alcoholdrug and medication
Andrew Naylor
4 Jun 2024· Durham & Darlington
Alcoholdrug and medication
Sewa Chaddha
2 Jun 2024· of Berkshire
Alcoholdrug and medication
Gary Ash
15 May 2024· East London
Hospital Death (Clinical Procedures and medical management)
Margaret Clement
14 May 2024· Lancashire and Blackburn with Darwen
Hospital Death (Clinical Procedures and medical management)
Zarah Ravn
8 May 2024· Surrey
Alcoholdrug and medication
Jane Walker
13 Mar 2024· North West Wales
Other related deaths | Alcoholdrug and medication related deaths | Wales prevention of future deaths reports (2019 onwards)
Chloe Tapp
28 Feb 2024· Essex
Hospital Death (Clinical Procedures and medical management)
Joshua Burgess
21 Feb 2024· Staffordshire and Stoke on Trent
Hospital Death (Clinical Procedures and medical management)
Sean Crawford
15 Feb 2024· County Durham and Darlington
Alcoholdrug and medication
Kate O’Donnell
22 Jan 2024· Teesside and Hartlepool
Hospital Death (Clinical Procedures and medical management)
Sarah Mitchell
8 Jan 2024· Suffolk
Alcoholdrug and medication
Meghan Chrismas
29 Dec 2023· Surrey
Suicide (from 2015)
Margaret Heal
6 Dec 2023· Durham & Darlington
Other
Patricia Walton
5 Dec 2023· Leicester City and South Leicestershire
Hospital Death (Clinical Procedures and medical management)
Amirah Khalifa
27 Nov 2023· Liverpool and Wirral
Alcoholdrugs medication related deaths | Hospital Death (Clinical Procedures and medical management)
Andrew Nichols
27 Oct 2023· Worcestershire
Hospital Death (Clinical Procedures and medical management)
Jason Bayley
17 Oct 2023· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Lilian Board
5 Oct 2023· Lincolnshire
Suicide (from 2015) | Alcoholdrugs medication related death | Hospital Death (Clinical Procedures and medical management)
Janet Spencer
4 Oct 2023· Nottingham City and Nottinghamshire
Care Home Health
Melvyn Blount
21 Sep 2023· Derby and Derbyshire
Mental Health related deaths | Alcoholdrugs medication related death
Kimberley Sampson and Samantha Mulcahy
17 Sep 2023· Central and South East Kent
Hospital Death (Clinical Procedures and medical management)
Talia Phillips
4 Sep 2023· Cornwall and the Isles of Scilly
Road (Highways Safety) related deaths | Alcoholdrugs medication
Miss C
25 Aug 2023· Northamptonshire
Hospital Death (Clinical Procedures and medical management)
Audrey King
22 Aug 2023· Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management)
John Roberts
25 Apr 2023· Cornwall and the Isles of Scilly
Hospital Death (Clinical Procedures and medical management)
Beryl Ellison
3 Jan 2023· Sefton, St Helens and Knowsley
Alcoholdrug and medication related deaths | Care Home Health
Karen Redding
10 May 2022· Black Country
Alcoholdrug and medication related deaths | Care Home Health
Jane Allison
8 Mar 2022· County Durham and Darlington
Community health care | Alcoholdrug and medication
Vijaykumar Gadhavi
2 Mar 2022· East London
Hospital Death (Clinical Procedures and medical management) related deaths | Alcoholdrug and medication
Jane Shilton
24 Feb 2022· Leicester City and South Leicestershire
Care Home Health related deaths | Mental Health related deaths | Alcoholdrug and medication
Dorothy Spiby
24 Feb 2022· Birmingham and Solihull
Care Home Health
Saif Hussain
29 Nov 2021· Berkshire
Hospital Death (Clinical Procedures and medical management) related deaths | Suicide (from 2015) | Alcoholdrug and medication related deaths | Product
Christopher Collinson
2 Nov 2021· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management) related deaths | Alcoholdrug and medication
Sarah Brady
8 Jul 2021· Black Country
Hospital Death (Clinical Procedures and medical management) related deaths | Alcoholdrug and medication related deaths | Mental Health related deaths | Community health care | Other
Helen Spicer
4 May 2021· Cornwall and the Isles of Scilly
Alcoholdrug and medication related deaths | Community health care
Susan Adams
23 Apr 2021· Staffordshire South
Alcoholdrug and medication related deaths | Mental Health related deaths | Hospital Death (Clinical Procedures and medical management)
Imre Thomas
13 Apr 2021· Lancashire and Blackburn with Darwen
Hospital Death (Clinical Procedures and medical management) related deaths | Alcoholdrug and medication
Paula Speirs
8 Mar 2021· Inner North London
Hospital Death (Clinical Procedures and medical management) related deaths | Mental Health related deaths | Alcoholdrug and medication
Ruth Jones
15 Feb 2021· Greater Manchester South
Care Home Health
Ian Allen
26 Oct 2020· Birmingham and Solihull
Care Home health deaths; Alcoholdrug and medication
Theresa Robertson
22 Oct 2020· East London
Alcoholdrug and medication related deaths; Community healthcare
Pauline Russell
16 Oct 2020· Norfolk
Alcoholdrug and medication related deaths; Hospital death (clinical procedures and medical management)
Irene Whittingham
9 Mar 2020· Manchester
Alcoholdrug and medication related deaths; hospital Death (Clinical procedures and medical management)
Michael Lobban
4 Oct 2019· Inner London West
Alcoholdrug and medication
Alex Blake
6 Sep 2019· Inner London South
Alcoholdrug and medication related deaths; Hospital Death (Clinical Procedures and medical management)
Natalie Hunter
14 May 2019· Isle of Wight
Hospital Death (Clinical Procedures and medical management) related deaths; Mental Health related deaths; Alcoholdrug and medication related deaths; Suicide (from 2015)
Donald Berry
24 Feb 2019· Manchester
Care Home Health
Pauline Taylor
21 Jul 2017· West Yorkshire (Western)
Community health care and emergency services related deaths; Hospital Death (Clinical Procedures and medical management)
Marjorie Bassendine
19 Feb 2017· Surrey
Care Home Health
Malcolm Bennett
22 Jun 2016· Manchester
Care Home Health
Elsie Brown
4 Dec 2015· Nottinghamshire
Care Home Health
Andre Mickley
17 Jun 2015· Central Lincolnshire
Alcoholdrug and medication
X Rokeby
12 Feb 2015· Northamptonshire
Care Home Health
Annette Charlton
9 Jan 2015· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)
Eliza Bashir
24 Oct 2014· Manchester
Hospital Death (Clinical Procedures and medical management) related deaths; Product
Clive Clinton
23 May 2014· North Wales
Care Home Health
Akua Anokye-Boateng
9 May 2014· Inner London South
Alcoholdrug and medication