Medicine cut 2.jpg

HSIB release interim bulletin relating to wrong route medication investigation

by Communications team

The Healthcare Safety Investigation Branch (HSIB) has released an interim bulletin relating to their investigation on the wrong route administration of an oral drug into a vein.

The HSIB were made aware of a nine-year-old child who inadvertently had an oral liquid medication injected into a vein. The initial investigation highlighted steps missing in the preparation, checking and administration of the prescribed drug. The full investigation will look at the complexity of the medications process, applying a human factors view to aid learning. 

Interim bulletins are released to share further details of each investigation, including how it’s met HSIB criteria, the history of the event it relates to, the national context and any identified safety issues.

The HSIB launched its first full investigation in July 2017, and is now carrying out nine full investigations.

Back to news

Related news

13 delegates from Ukom, with HSIB's Lesley Kay, Deinniol Owens and Keith Conradi

Knowledge exchange with Norway

Read news article
Blue capsules spill out of a foil packet.

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

Read news article
An ambulance drives at speed past the houses of parliament in Westminster.

Interim report calls for immediate action to reduce harm to patients from handover delays

Read news article
Older male man lies on a bed with his worried wife sitting with him, holding his hand.

Zero avoidable deaths – an aspiration, not a target

Read news article
Rosie Benneyworth

Dr Rosie Benneyworth appointed interim Chief Investigator

Read news article