Patient safety investigations

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Hands type on a laptop keyboard. Nine exclamation marks are superimposed over the photo, including one in a warning triangle, to signify an issue with the computer system.

Electronic patient record systems – risk from loss of functionality

We have launched an investigation that explores risks to patient safety where access to, the use of, or functionality of electronic patient record (EPR) systems has been lost. That loss may be short- or long-term, and be planned or unplanned.
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Launched

  • Theme:

    Communication and decision making, Medical tests, Continuity of care
A doctor wearing blue scrubs uses a laptop. A graphic of computer folders to represent electronic patient record systems is superimposed on the photo.

Electronic patient record systems – electronic referrals for ongoing care

We have launched an investigation that explores risks to patient safety where electronic patient record (EPR) systems, introduced to support referrals for patient care, have contributed to harm from missed or delayed care.
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Launched

  • Theme:

    Access to care, Follow-up care, Continuity of care
Close up of hands using a smart phone.

Online prescribing: challenges and opportunities to improve patient safety

This investigation looks at the complex regulatory landscape around independent online prescribing and challenges sharing patient information between the NHS and independent online prescribing services.
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Launched

  • Theme:

    Medication
An image of a hospital waiting room with three empty seats and one seat occupied.

Safety issues for people experiencing a mental health crisis who come into contact with urgent and emergency care services

Mental health crisis describes when a person feels at breaking point and where they need urgent help. We have launched two investigations that explore the patient safety issues associated with care pathways for people experiencing a mental health crisis who come into contact with urgent and emergen…
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Launched

  • Theme:

    Mental health, Emergency care, Access to care

  • Awaiting safety recommendation responses

Close-up of man with a closely trimmed beard. He takes a pill with a glass of water.

The prescribing of lithium for bipolar disorder

Around 1 in 50 adults experience bipolar disorder within their lives. Whilst the number of people with bipolar disorder has remained consistent over time the prescribing of lithium has been in decline for decades.
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Launched

  • Theme:

    Mental health, Medication
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