Table 1 Modifications made to the case peer review tool

-Addition of a timeline displaying key events in chronological order to provide a snapshot of what happened

-Addition of Section 8 which allows for the recording of positive aspects of care

-Addition of Section 9 to identify whether reviewers have had prior knowledge of the case which may impact on their review

-Addition of answer options in cases where not all options are covered

-Minor modification to the wording of some questions to avoid ambiguity

-Minor modification to the layout and structure to improve usability

-Prompts to interview relevant staff to gather further information