Root Cause Analysis Investigation Report into the Death ofDr Julien Warshafsky
South EastNHS England has published aRoot Cause Analysis Investigation Report into the Death of Dr Julien Warshafsky. The focus of this case review is to explore opportunities for collective learning and identify actions that could be either considered or taken to minimise the risk of recurrence.
Recommendations (1)
None
the local health system (Kent, Surrey and Sussex)
No Response Published
Recommendation
It is recommended that the local health system (Kent, Surrey and Sussex) review their approach to the management of trainees with an addiction illness and use this as a case study in that process.