National report highlights impact and suggests improvements to reduce the risk of delays to critical interventions during birth

  • By: Communications team
  • Posted on: 12 Nov 2020

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…

National report charts challenges of managing COVID-19 transmission in hospitals

  • By: Communications team
  • Posted on: 29 Oct 2020

Helping the healthcare system reduce the spread of coronavirus (COVID-19) in hospitals is the focus of our latest report. It includes measures that support immediate and future responses as the NHS continues to tackle the virus.

Recognising Baby Loss Awareness Week (9-15 October 2020)

  • By: Communications team
  • Posted on: 15 Oct 2020

Through our maternity investigations we hear the devastating experiences from families who have lost a baby and recognise the importance of Baby Loss Awareness Week.

New report highlights missed opportunities in stroke aftercare

  • By: Communications team
  • Posted on: 13 Oct 2020

We examined the patient safety risks after looking at the case of a 78-year old woman who suffered a pulmonary embolism whilst recovering from a stroke in hospital.

HSIB highlights deadly impact of high-risk medication errors

  • By: Communications team
  • Posted on: 24 Sep 2020

Failure to identify high-risk medication errors in patients with complex needs can have a fatal outcome, warns our new report. Research suggests that medication errors may directly cause around 712 deaths per year.

New report emphasises importance of the ‘family voice’ in healthcare investigations

  • By: Communications team
  • Posted on: 17 Sep 2020

In our latest report, we have outlined our unique approach to working with patients and families. We have set out our experiences so that other organisations can reflect on how it may be applicable to their work.

Join our online seminar to mark World Patient Safety Day

  • By: Communications team
  • Posted on: 28 Aug 2020

Join us online on 17 September 2020 to find out more about our investigations process and how to conduct professional healthcare safety investigations in your own organisation.

New report highlights PPE guidance safety risk

  • By: Communications team
  • Posted on: 27 Aug 2020

Our latest national intelligence report reiterates the importance of clear PPE guidelines to reduce the risk of COVID-19 transmission when delivering care in people’s homes.

Annual Review highlights progress and achievements in the last year

  • By: Communications team
  • Posted on: 18 Aug 2020

We have been working tirelessly to support the healthcare system throughout the year. During 2019/20 we completed 15 national reports, all receiving good media coverage, and had 23 reports ongoing.

New report confirms importance of clinical vigilance in the immediate postnatal period for safe care of babies

  • By: Communications team
  • Posted on: 13 Aug 2020

Our latest maternity national learning report focuses on the importance of clinical monitoring to ensure that babies are as safe as possible during crucial skin to skin contact following birth.