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Report shows retention of learning disability nurses is vital for consistency of medication care

Our latest report highlights a shortage of learning disability nurses. The number joining the profession each year is matched by those leaving. We look at how this could impact on the care of patient…
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HSIB recommends overhaul to NHS list to ensure ‘Never Events’ are truly never events

Our latest national report states that Never Events should not be defined as such if they don’t have strong enough barriers in place to stop them happening.
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HSIB investigates oxygen issues during the COVID-19 pandemic

We have today, 15 January 2021, launched a national investigation into the provision of piped oxygen gas supplies to hospitals.
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Support for NHS staff is crucial to improving patient safety

Our latest report outlines the most important factors for supporting staff in the wake of safety incidents, against the backdrop of the Covid-19 pandemic.
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HSIB highlights patient safety risks of nasogastric tube never events

Our latest report focuses on the life-threatening risk posed by the accidental misplacement of tubes that deliver food or medication to critically ill patients.
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New report highlights challenges of implementing ‘smart’ pump devices across NHS

Our latest report charts the emerging patient safety risks that can come with the introduction of ‘smart’ infusion pump technology into hospitals.
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National report highlights impact and suggests improvements to reduce the risk of delays to critical interventions during birth

Identifying improvements in maternity care to help reduce the risk of delays in crucial interventions during labour when a baby is suspected to be unwell is the focus of our latest national investiga…
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National report charts challenges of managing COVID-19 transmission in hospitals

Helping the healthcare system reduce the spread of coronavirus (COVID-19) in hospitals is the focus of our latest national report.
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Recognising Baby Loss Awareness Week (9-15 October 2020)

Through our maternity investigations, we hear the devastating experiences from families who have lost a baby. We recognise the importance of Baby Loss Awareness Week and the work that is being done t…
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New report highlights missed opportunities in stroke aftercare

Crucial treatments missed in stroke aftercare could lead to fatal blood clots, highlights our latest national investigation report.
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HSIB highlights deadly impact of high-risk medication errors

Failure to identify high-risk medication errors in patients with complex needs can have a fatal outcome, our new report warns today.
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New report emphasises importance of the ‘family voice’ in healthcare investigations

In our latest report, we have outlined our unique approach to working with patients and families with the aim of sharing that learning across the healthcare sector.
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Join our online seminar to mark World Patient Safety Day

We would like to invite you to our 'Healthcare Safety Investigations Online Seminar & Learning Event' to mark World Patient Safety Day on 17 September 2020.
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New report highlights PPE guidance safety risk

Our latest national intelligence report reiterates the importance of clear PPE guidelines to reduce the risk of coronavirus (COVID-19) transmission when delivering care in people’s homes.
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Annual Review highlights progress and achievements in the last year

We are delighted to present our third Annual Review.
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New report confirms importance of clinical vigilance in the immediate postnatal period for safe care of babies

The latest maternity learning report from the Healthcare Safety Investigation Branch focuses on the importance of clinical monitoring to ensure that babies are as safe as possible during crucial skin…
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Behind the scenes: HSIB’s rapid approach to highlighting emerging COVID-19 patient safety risks

Since our inception, the Healthcare Safety Investigation Branch (HSIB) has sought to identify, analyse, and investigate some of the most common patient safety risks facing the NHS.
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HSIB working through the coronavirus pandemic and looking ahead

Since March 2020, we have been working closely with NHS trusts and national healthcare bodies to use our expertise in helping the fight against the coronavirus (COVID-19) pandemic.
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National report highlights life threatening risk posed by delay in group B strep treatment

Delay or failure to give preventative antibiotics to mothers can leave newborn babies at risk of death or severe injury from group B strep infection, our latest report shows.
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Simulation helps NHS prepare during coronavirus pandemic

The NHS is using simulation to help prepare and test staff and systems during the coronavirus (COVID-19) pandemic. This article collates some of the simulation resources available that are relevant t…
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DHSC publishes HSIB East Kent Hospitals maternity summary report

In January 2020 the Healthcare Safety Investigation Branch was asked by the Department of Health and Social Care to provide a summary report of all the investigations it had undertaken, up to that po…
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HSIB changes maternity investigation procedure, and halts national investigations and report publication

As a result of the current coronavirus (COVID-19) pandemic, the Healthcare Safety Investigation Branch (HSIB) is changing the way it approaches maternity and national investigations to minimise the i…
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HSIB publishes first national investigation report

The Healthcare Safety Investigation Branch (HSIB) has today published its first investigation report relating to a surgical never event.
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HSIB investigators to stop visiting trusts to help reduce spread of coronavirus

As part of our day to day work HSIB staff and investigators visit healthcare organisations up and down the country.
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New report highlights the ‘devastating impact’ of missed ectopic pregnancy

Prompt referral to early pregnancy services can make the difference between life and death in the diagnosis of ectopic pregnancies, our report highlights today.
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Influential health equality advocate Patrick Vernon OBE joins HSIB

Patrick Vernon OBE has joined HSIB to help establish and lead our Citizens’ Partnership.
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Report highlights ‘toxic’ risk of beta blocker to prevent overdose deaths

The toxicity of a commonly prescribed beta blocker needs better recognition across the NHS to prevent deaths from overdose, our new report warns today (6 February 2020).
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Earlier recognition of aortic dissection needed to prevent deaths

Up to half of all patients who suffer an acute aortic dissection may die before reaching crucial specialist care, according to our new report.
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Latest HSIB report highlights ‘devastating’ impact of delays and pressure on national glaucoma services

Delays to follow-up appointments for glaucoma patients leaves them at risk of sight loss, warns our new report.
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New national investigation looks at implementation of safety improvements for the placement of NG tubes

We’ve launched an investigation looking at nasogastric tubes and how previously identified safety improvements for the placement of these tubes are put into practice.
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New national investigation looks at outpatient appointments after hospital stays

This investigation looks into a safety risks involving outpatient follow-up appointments which are intended but not booked after hospital stays.
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New Advisory Panel Chair announced

The Healthcare Safety Investigation Branch (HSIB) is pleased to announce the appointment of Murray Anderson-Wallace as its new Advisory Panel Chair.
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Report highlights common ‘never event’ that leaves women at risk of harm after childbirth

Women can be left in severe pain and at risk of infection if swabs and tampons used after childbirth are accidentally left in the vagina.
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Annual Review reflects on progress and achievements in the last year

As the new year approaches it’s an appropriate time to reflect on HSIB’s progress and achievements during 2018/19, with the publication of our Annual Review.
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Health Service Safety Investigations Bill receives second reading in House of Lords

The Government’s Bill to establish an independent non-departmental public body has received its second reading in the House of Lords.
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HSIB Position Statement - CQC State of Care 2018/19

Responding to the publication of the Care Quality Commission’s State of Care 2018/19, Keith Conradi, Chief Investigator for the HSIB said:
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HSSIB Bill has first reading in House of Lords

We have started our journey to becoming an arm’s-length body after our Bill was mentioned in the Queen’s Speech on 14 October 2019.
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‘HSSIB’ Bill announced in Queen’s speech

A Bill to fully establish the Healthcare Safety Investigation Branch (HSIB) as an arm’s-length body has been one of 26 proposed bills announced in the Queen’s speech at the State Opening of Parliamen…
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Highlighting the stories behind our investigations on World Mental Health Day

Today HSIB supports World Mental Health Day, highlighting the stories behind two of our national investigations and the improvements being made to mental health care across the NHS.
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HSIB highlights impact of blood sampling errors across NHS

The Government’s Bill to establish an independent non-departmental public body has received its second reading in the House of Lords (29 October 2019).
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How HSIB marked the first World Patient Safety Day

Our organisation is the first in the world to investigate patient safety concerns nationally.
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HSIB highlights its contribution on the eve of World Patient Safety Day

Tomorrow (17 September), HSIB celebrates the first-ever World Patient Safety Day. This is a global initiative established by the World Health Organization (WHO) to create awareness of patient safety …
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National bodies respond to safety recommendations in critically unwell patients report

We made safety recommendations to The Royal College of Physicians and NHS England/NHS Improvement as a result of our investigation into recognising and responding to critically unwell patients.
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Latest HSIB report focuses on speedier diagnosis of time-critical testicular torsion

A report published today (12 September ) sets out a number of safety recommendations to improve the diagnosis and treatment of testicular torsion, a time critical-condition that mainly affects young …
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HSIB marks first World Patient Safety Day

Along with many healthcare organisations across the globe, we are celebrating the first ever World Patient Safety Day on 17 September and highlighting the work we do to improve patient safety across …
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Gap in care for chronically ill prisoners

Prisoners are at risk of being transferred without crucial medication, according to our latest healthcare safety investigation report.
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New investigation looks at the procurement, usability and adoption of ‘smart’ pumps

HSIB have launched an investigation after being notified of three incidents where an accidental fentanyl overdose occurred. The Trust had administered the powerful pain medication using a ‘smart’ inf…
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Bulletin on progress in our high-risk prescribing errors investigation is released

The Healthcare Safety Investigation Branch (HSIB) has published an interim bulletin for its investigation looking at identifying and reducing high-risk prescribing errors in hospital.
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Latest HSIB report focuses on technology to reduce risk of X-ray findings getting lost

A report published today (18 July) by HSIB showcases where technology could play a pivotal role in reducing harm caused by failures in communication or follow-up of unexpected significant radiologica…
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