Patient safety investigations

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A doctor looks at an X-ray showing a hip replacement.
HSIB legacy content

Implantation of wrong prostheses during joint replacement surgery

published
This investigation relates to the implantation of the wrong prostheses (artificial body parts) during joint replacement surgery - a surgical never event. A never event is a serious incident that is entirely preventable.
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Published
  • Theme:

    Checking, Surgical
  • Safety recommendation responses received

An adult puts a supportive arm around a young person who holds a teddy, while they read a form.
HSIB legacy content

Transition from child and adolescent mental health services to adult mental health services

published
We investigate how young people are supported in the transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) when they turn 18 years old.
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Published
  • Theme:

    Mental health, Access to care
  • Safety recommendation responses received

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