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Continuity of care: Delayed diagnosis in GP practices
published
While some GP practices in England operate a formalised system of continuity of care, many do not. This investigation explores the safety risk associated with the lack of a system of continuity of care within GP practices.
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Published
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Theme:
Delayed diagnosis, Continuity of care, Primary care -
Awaiting safety recommendation responses

Risks to medication delivery using ambulatory infusion pumps: design and usability in inpatient settings
published
Ambulatory infusion pumps are small, battery powered medical devices. This investigation aims to improve patient safety by supporting healthcare staff in the safe use of ambulatory (portable) infusion pumps.
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Published
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Theme:
Medical devices -
Awaiting safety recommendation responses

Caring for adults with a learning disability in acute hospitals
published
This investigation explores the care that people with learning disabilities receive in NHS hospitals. It specifically looks at the provision of healthcare to adults with learning disabilities within acute hospital settings.
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Published
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Theme:
Hospital care, Learning disabilities -
Awaiting safety recommendation responses

Safety management systems: an introduction for healthcare
published
Safety management systems are an organised approach to managing safety which are widely used in different industries. This national learning report looks at what could be achieved by further adopting this approach in healthcare.
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Published
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Theme:
Patient safety themes, NHS staff, Patient and family -
Awaiting safety recommendation responses

Workforce and patient safety
The workforce challenges faced by the NHS in England present a significant risk to patient safety and staff wellbeing. We're undertaking four investigations to consider how working conditions can be optimised to support patient safety, while maintaining and improving NHS staff wellbeing.
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Launched
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Theme:
Patient safety themes, NHS staff

HSIB legacy content
Harm caused by delays in transferring patients to the right place of care
published
This investigation explores issues around patient handover to emergency care. Patients who wait in ambulances at an emergency department are at potential risk of coming to harm due to deterioration or not being able to access timely and appropriate treatment.
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Published
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Theme:
Emergency care -
Awaiting safety recommendation responses

HSIB legacy content
The selection and insertion of vascular grafts in haemodialysis patients
published
Almost 30,000 people in the UK currently receive dialysis. This investigation looks at associated patient safety risks in operating theatres, and packaging of vascular grafts.
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Published
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Theme:
Medical devices, Coronavirus (COVID-19), Surgical -
Safety recommendation responses received

HSIB legacy content
Variations in the delivery of palliative care services to adults
published
This national investigation looks at variations in delivery of palliative care services to adults in England, by the NHS, charities and private sector.
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Published
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Theme:
Access to care -
Awaiting safety recommendation responses

Mental health inpatient settings
We’ve started work to launch a series of patient safety investigations that look at mental health inpatient settings. This series of investigations was announced by the Secretary of State for Health and Social Care in June 2023.
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Launched
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Theme:
Mental health

HSIB legacy content
Invasive procedures in patients with sickle cell disease
published
This investigation looks at the risks for patients with sickle cell disease when they undergo invasive procedures in hospital. It explores how hospital specialities can ensure that patients with sickle cell disease are prepared for procedures which could put them at risk of a sickle cell crisis.
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Published
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Theme:
Long-term conditions, Communication and decision making -
Safety recommendation responses received