Experience of clinical risk management in obstetrics in Oxford

BMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7124.73 (Published 03 January 1998) Cite this as: BMJ 1998;316:73
  1. Jonathan Mant, Clinical lecturer in public health medicinea,
  2. Maria Dineen, Midwifeb,
  3. Jackie Couves, Midwifeb,
  4. Regine Imhof, Clinical directorb
  1. a Division of Public Health and Primary Health Care, Gibson Building, Radcliffe Infirmary, Oxford OX2 6HE
  2. b Women's Centre, Oxford Radcliffe NHS Trust, Oxford OX2 6HE

    Editor—We agree with Charles Vincent that clinical risk management should be integrated with other quality assurance programmes and that its aim should be more ambitious than simply avoiding litigation.1 Indeed, evidence that clinical risk management can reduce litigation is limited,2 so continued justification for the approach may depend on its ability to improve patient safety.

    We introduced a clinical risk management programme in obstetrics in Oxford in September 1994. The cornerstone of the programme was an early warning system …

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