Oxygen issues during the COVID-19 pandemic
published
We launched a national investigation into the provision of piped oxygen gas supplies to hospitals.There has been an increased demand for oxygen gas in hospital wards during the COVID-19 pandemic. COVID-19 can cause severe inflammation of the lungs affecting a patient’s ability to breathe.
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Published
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Theme:
Medical devices, COVID-19 -
Awaiting safety recommendation responses
Suitability of equipment and technology used for continuous fetal heart rate monitoring
published
We launched a national patient safety investigation into the suitability of equipment and technology used for continuous fetal heart rate monitoring during labour and birth.
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Published
-
Theme:
Medical devices, Maternity -
Awaiting safety recommendation responses
HSIB local integrated investigation pilot
published
HSIB launched a pilot programme to evaluate its ability to carry out effective locality-based investigations. Following evaluation, consideration this model may be implemented more widely by HSIB.
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Launched
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Theme:
Analysis -
Awaiting safety recommendation responses
The assessment of venous thromboembolism risks associated with pregnancy
We have started an investigation looking at the assessment and communication of the risk of venous thromboembolism (VTE) in pregnant and postnatal women. VTE is the collective term for the formation of blood clots, including deep vein thrombosis (DVT) and pulmonary embolism (PE).
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Launched
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Theme:
Maternity
Treating COVID-19 patients using continuous positive airway pressure (CPAP) outside of a critical care unit
published
This investigation looked into the safety risk of treating patients with coronavirus (COVID-19) with Continuous Positive Airway Pressure Ventilation (CPAP) outside of critical care units.
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Published
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Theme:
Respiratory, COVID-19
Unplanned delayed removal of ureteric stents
published
This investigation relates to patients with kidney stones who have had a ureteric stent inserted and where the stent is left in longer than planned.
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Published
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Theme:
Access to care, Follow-up care -
Awaiting safety recommendation responses
Surgical care of NHS patients in independent hospitals
published
We launched an investigation to support the delivery of safe care to NHS-funded patients undergoing surgery within independent (private) hospitals.
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Published
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Theme:
Communication and decision making, Surgical -
Awaiting safety recommendation responses
Provision of care for children and young people when accessing specialist gender dysphoria services
This investigation will explore the care of patients who present to child and adolescent mental health services (CAMHS) with questions about their gender identity and are referred to specialist gender dysphoria services.
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Launched
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Theme:
Access to care
Missed detection of lung cancer on chest X-rays of patients being seen in primary care
published
We launched a national investigation into the safety risk of delayed diagnosis of lung cancer. Specifically, the investigation explored delays in patients being seen in primary care and who had a chest X-ray that had not detected cancer.
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Published
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Theme:
Missed diagnosis -
Safety recommendation responses received
Clinical decision making: diagnosis of pulmonary embolism in emergency departments
We have started an investigation looking at the timely recognition and treatment of suspected pulmonary embolism (PE).A person suffering from a PE (a clot in the lung) requires urgent treatment to reduce the chance of significant harm or death.
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Launched
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Theme:
Hospital care, Communication and decision making