By the numbers
What every medical director should know.
0 in 10
patients worldwide are harmed while receiving care.
World Health Organization
0%
of that harm is preventable, by the same estimate.
World Health Organization
0hrs
for a P3i reviewer to be engaged after a serious patient safety event.
P3i service commitment
One night on a busy ward
One night on a ward. See where care is most stretched.
The same ward, the same team. What changes is the hour.
01:00 · HIGH RISK
Thin staffing
Fewer staff, more patients each, and decisions made alone.
Illustrative, drawn from the kinds of events we investigate.
In Pakistan
Hospitals in Pakistan pursuing national and international accreditation are expected to show that serious incidents are reviewed openly and that learning is acted on.
Globally
Health systems worldwide are moving from blame-focused reviews to learning-focused ones, with patients and families involved.
Photographs illustrate typical settings; they are not from P3i cases.
Who calls us
Medical director
Learning without blame
Quality and accreditation lead
Evidence of open review
Hospital CEO
Trust with patients and families
Facilities head
Safe, reliable buildings and power
How we help
Four ways we help hospitals. Learning, never blame.
Something happened on your site this week? A first call costs nothing, and we will tell you what to preserve today.
The P3i approach
How we investigate healthcare incidents. Fact-finding, not fault-finding.
Every P3i investigation is led by a senior investigator and supported by internationally qualified process specialists. You will not receive a list of people to blame, or a long list of generic actions. You will receive the facts, the proven causes, and a short plan that closes the gaps, in this case and across your system.
Independent
No products, repairs or contracts to sell you afterwards.
Senior-led
Thirty years of investigation, from the first call to the final briefing.
Beyond the event
Process specialists find the other cracks before they fail.
Ready to present
Written for boards, buyers, insurers and regulators.
How P3i does it for you
- 01
One confidential call
A confidential conversation with the hospital, agreeing scope before any records.
- 02
Secure before it is cleaned up
Charts, rosters, equipment and facility logs gathered respectfully.
- 03
Facts, not versions
Private interviews where nobody is pushed to name a culprit. The evidence decides.
- 04
Find what the system allowed
Handovers, staffing, escalation and facilities, reviewed without blame.
- 05
A plan leadership can approve
Short, costed, owned actions, and a check that they worked.
What you receive
Call us when
Free 30-minute case assessment.
Tell us what happened. In confidence, we will tell you what the investigation should cover, how long it will take and what to preserve today.
How we work with you
What happens after you call.
For healthcare, the first call covers what happened, what must be preserved, and who needs to be involved. From there, this is the usual pattern.
First hour
A call with a lead investigator. You leave it knowing what to preserve today and who to call next.
Day one
An investigator on site, anywhere in Pakistan. Scope and fixed fee agreed in writing.
Week one
A private briefing on early findings, so urgent risks are dealt with before the report is finished.
Weeks three to four
The final report, the wider system review and a remedial work plan, presented to your team.
After
We come back to check the actions were completed and actually worked.
Typical timings for a single-site event. Complex, multi-party matters take longer, and we tell you so on the first call.
What you receive
A full investigation report. This is only its first page.
The summary is what leadership reads first. Behind it sits the complete file: every witness heard, every document and record examined, and every finding tied to numbered evidence, so a board, an insurer, a buyer or a regulator can test it.
1 · Established sequence
2 · Causes
3 · Wider system findings
4 · Remedial work plan
Illustrative summary page. Report length and structure depend on the scope of each case.
Inside the full report
- 01Executive summary SHOWNThe findings and actions leadership needs, on one page. This is the page shown here.
- 02Terms of reference & scopeThe questions asked, the boundaries of the investigation and who commissioned it.
- 03MethodHow evidence was gathered, and which analysis methods were chosen for this case, and why.
- 04Verified chronologyThe sequence of events, reconstructed from records, data and accounts, minute by minute where it matters.
- 05Site & technical examinationScene, equipment, failed parts, measurements and photographs, with specialists where needed.
- 06Witness evidenceInterview schedule, accounts in summary, and where the witnesses agree and where they conflict.
- 07Documents & recordsPermits, procedures, maintenance, training, rosters, CCTV, tracker and control-system data reviewed.
- 08Causal analysisImmediate, underlying and system causes, each one tied to numbered evidence.
- 09System reviewWhere the same weaknesses exist elsewhere in the operation.
- 10Findings & conclusionsWhat is proven, what is probable, and what remains open, stated plainly.
- 11Recommendations & work planTargeted actions, each with an owner, a date and a test of whether it worked.
- 12AppendicesEvidence register, photograph log, interview records, drawings and data extracts.
Every action has an owner, a date and a test of whether it worked. The evidence stays indexed, so any reader can check how each conclusion was reached.
Questions
What medical directors ask us first.
Will you blame doctors or nurses?
No. We review the system of care; clinical questions are reviewed by clinical peers.
Can families ask for a review?
Yes, and we usually suggest working with the hospital.
How is patient and staff information protected?
Yes, with arrangements agreed at the start.