HSIB shares learning internationally at New Zealand safety symposium
- By: Communications team
- Posted on: 17 Sep 2019
In this short video, HSIB national investigator Saskia Fursland talks about her keynote speech at the Human Factors in Healthcare Symposium in New Zealand.
HSIB highlights its contribution on the eve of World Patient Safety Day
- By: Communications team
- Posted on: 16 Sep 2019
Staff from HSIB are speaking at patient safety events in Loughborough, London and New Zealand. They’ll highlight our contribution to patient safety through our investigations and share learning for the benefit of patients across the world.
National bodies respond to safety recommendations in critically unwell patients report
- By: Communications team
- Posted on: 16 Sep 2019
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.
Latest HSIB report focuses on speedier diagnosis of time-critical testicular torsion
- By: Communications team
- Posted on: 12 Sep 2019
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 boys and teenagers
HSIB marks first World Patient Safety Day
- By: Communications team
- Posted on: 11 Sep 2019
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 the NHS in England.
New investigation looks at the procurement, usability and adoption of ‘smart’ pumps
- By: Communications team
- Posted on: 21 Aug 2019
We launched this investigation after we were notified of three incidents where an accidental fentanyl overdose occurred. The Trust had administered the powerful pain medication using a smart pump.
Update on our investigation looking at undiagnosed cardiomyopathy in a young person with autism
- By: Communications team
- Posted on: 20 Aug 2019
We’re working with stakeholders to develop safety recommendations to support clinicians to effectively communicate with, and assess, patients to optimise the chances of detecting diseases, some of which may be more prevalent in those with autism or learning disabilities.
Online feedback form launched so you can ‘tell us what you think’
- By: Communications team
- Posted on: 1 Aug 2019
We’ve just launched a new online feedback form so that anyone involved or interested in our healthcare safety investigations can tell us what they think. All the comments we receive are reviewed by our team and help us to improve our healthcare safety investigations.
Bulletin on progress in our high-risk prescribing errors investigation is released
- By: Communications team
- Posted on: 22 Jul 2019
The initial investigation considered that there may be a specific risk related to the administration of high-risk medicines to frail, elderly patients in hospital. Further investigation has identified specific risks associated with medication prescription and that these risks are not limited to the prescription of high-risk medications in isolation.
Latest HSIB report focuses on technology to reduce risk of X-ray findings getting lost
- By: Communications team
- Posted on: 18 Jul 2019
The lack of follow-up or communication of unexpected significant findings can have a serious or life-threatening impact on patients. This was seen in the reference case that informed this investigation. In that event, a 76-year old woman had a chest X-ray showing a possible lung cancer which was not followed up and resulted in a delayed diagnosis. The patient died just over two months after her diagnosis.