Notification of investigation: recognition of the acutely ill infant
- By: Communications team
- Posted on: 20 Mar 2019
The HSIB was notified of a three-month-old infant who was admitted in to a hospital and discharged four hours later. The infant was re-admitted less than four hours later and sadly died of Meningococcus (serogroup B). HSIB has launched an investigation regarding the recognition of the acutely ill infant.
HSIB’s maternity investigation programme completes rollout into 130 NHS trusts
- By: Communications team
- Posted on: 18 Mar 2019
From today, all trusts in England will be referring maternity cases to HSIB.
New report focuses on design and implementation of patient safety alerts
- By: Communications team
- Posted on: 28 Feb 2019
Our latest report highlights that despite ongoing work, NHS trusts may face barriers when responding to national patient safety alerts.
Royal College of Anaesthetists responds to nerve block safety recommendations
- By: Communications team
- Posted on: 27 Feb 2019
We made two safety recommendations to the Royal College of Anaesthetists (RCoA) as a result of our investigation into administering a wrong site nerve block. Find out how they responded.
Notification of investigation: potential under-recognised risk of harm from the use of propranolol
- By: Communications team
- Posted on: 18 Feb 2019
The investigation will focus on awareness of the toxicity of propranolol, the speed of ambulance response to overdose calls, and the treatment of patients who have overdosed.
Notification of investigation: management of VTE risk in patients following thrombolysis for an acute stroke
- By: Communications team
- Posted on: 7 Feb 2019
The investigation will focus on the risk reduction measures to prevent deep vein thrombosis (DVT) and pulmonary embolism (PE) in patients that have suffered an acute stroke.
HSIB’s innovative approach ensures families are central to safety investigations
- By: Communications team
- Posted on: 7 Feb 2019
Both national and maternity investigations are showing a high level of family engagement through an inclusive and innovative model that ensures families have a voice throughout investigations.
New report focuses on recommendations to make ambulance transfers safer
- By: Communications team
- Posted on: 24 Jan 2019
A lack of national guidance and standard practice for ambulance transfers could be putting patients at risk.
HSIB release interim bulletin relating to the management of chronic health conditions in prisons
- By: Communications team
- Posted on: 20 Dec 2018
The investigation focuses on the case of a 43-year-old male, with a history of epilepsy since childhood.
Electronic prescribing and medicines administration systems interim bulletin released
- By: Communications team
- Posted on: 19 Dec 2018
The investigation explores the risks around the discharge process when using electronic prescribing and medicines administration (EPMA) systems, in the context of availability of support services in trusts at weekends.