A health board criticised for severe maternity falls put too much emphasis on targets instead of patient safety, according to a new evaluate.
It find wider failings in Cwm Taf Morgannwg health board’s governance.
Healthcare Inspectorate Wales( HIW) and the Wales Audit Office( WAO) likewise witnessed a high level of likelihood to patient refuge was accepted as the norm in some departments.
The health board said job is currently in the process of to address the issues raised.
The report was not an assessment of front-line care, but spoke to staff about procedures for reporting and learning from troubles.