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Caring for adults with a learning disability in acute hospitals
published
This investigation explores the care that people with learning disabilities receive in NHS hospitals. It specifically looks at the provision of healthcare to adults with learning disabilities within acute hospital settings.
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Published
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Theme:
Hospital care, Learning disabilities -
Safety recommendation responses received
Safety management systems: an introduction for healthcare
published
Safety management systems are an organised approach to managing safety which are widely used in different industries. This national learning report looks at what could be achieved by further adopting this approach in healthcare.
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Published
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Theme:
NHS staff, Patient safety themes, Patient and family -
Safety recommendation responses received
Workforce and patient safety
The workforce challenges faced by the NHS in England present a significant risk to patient safety and staff wellbeing. We're undertaking three investigations to consider how working conditions can be optimised to support patient safety, while maintaining and improving NHS staff wellbeing.
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Launched
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Theme:
NHS staff, Patient safety themes -
Awaiting safety recommendation responses
HSIB legacy content
Harm caused by delays in transferring patients to the right place of care
published
This investigation explores issues around patient handover to emergency care. Patients who wait in ambulances at an emergency department are at potential risk of coming to harm due to deterioration or not being able to access timely and appropriate treatment.
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Published
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Theme:
Emergency care -
Awaiting safety recommendation responses
HSIB legacy content
The selection and insertion of vascular grafts in haemodialysis patients
published
Almost 30,000 people in the UK currently receive dialysis. This investigation looks at associated patient safety risks in operating theatres, and packaging of vascular grafts.
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Published
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Theme:
Medical devices, Surgical, Coronavirus (COVID-19) -
Safety recommendation responses received
HSIB legacy content
Variations in the delivery of palliative care services to adults
published
This national investigation looks at variations in delivery of palliative care services to adults in England, by the NHS, charities and private sector.
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Published
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Theme:
Access to care -
Awaiting safety recommendation responses
Mental health inpatient settings
We’ve started work to launch a series of patient safety investigations that look at mental health inpatient settings. This series of investigations was announced by the Secretary of State for Health and Social Care in June 2023.
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Launched
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Theme:
Mental health
HSIB legacy content
Invasive procedures in patients with sickle cell disease
published
This investigation looks at the risks for patients with sickle cell disease when they undergo invasive procedures in hospital. It explores how hospital specialities can ensure that patients with sickle cell disease are prepared for procedures which could put them at risk of a sickle cell crisis.
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Published
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Theme:
Long-term conditions, Communication and decision making -
Safety recommendation responses received
HSIB legacy content
Management of sickle cell crisis
published
Sickle cell disease is the name for a group of inherited health conditions that affect the red blood cells. It affects approximately 15,000 people in the UK. This investigation looks at the risks for patients with sickle cell disease when they are treated with morphine for a sickle cell crisis.
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Published
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Theme:
Long-term conditions, Medical devices, Coronavirus (COVID-19) -
Safety recommendation responses received
HSIB legacy content
Clinical investigation booking systems failures: written communications in community languages
published
This investigation looks at the safety risk of booking systems failures. We explore the use of paper and hybrid booking systems and the production of appointment letters.
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Published
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Theme:
Communication and decision making -
Safety recommendation responses received