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HSIB legacy content
Covid-19 transmission in hospitals: management of the risk - a prospective safety investigation
published
This prospective patient safety investigation looks at how hospitals can minimise the likelihood of patients catching coronavirus (COVID-19) on acute hospital wards.
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Published
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Theme:
Hospital care, Coronavirus (COVID-19) -
Safety recommendation responses received
HSIB legacy content
Unplanned delayed removal of ureteric stents
published
This investigation relates to patients with kidney stones who have had a ureteric stent inserted and where the stent is left in longer than planned.
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Published
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Theme:
Access to care, Follow-up care -
Safety recommendation responses received
HSIB legacy content
Management of venous thromboembolism risk in patients following thrombolysis for an acute stroke
published
Every year in the UK over 100,000 people have a stroke. Patients who are admitted to hospital for any reason, including stroke, are assessed for their risk of developing blood clots in their veins which may arise due to being less active than usual.
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Published
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Theme:
Acute -
Safety recommendation responses received
HSIB legacy content
The role of clinical pharmacy services in helping to identify and reduce high-risk prescribing errors in hospital
published
Research suggests that 237 million medication errors occur at some point in the medication process in England per year. When errors occur in prescribing high-risk medications for older patients with multiple medical problems, there is a significant risk of serious harm. High-risk medicines are thos…
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Published
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Theme:
Medication, Communication and decision making -
Safety recommendation responses received
HSIB legacy content
Giving families a voice: HSIB’s approach to patient and family engagement during investigations
published
This national learning report highlights the themes emerging from our contact with families during our patient safety investigations. Our national learning reports describe common themes and findings that come out of our national investigation programme and our maternity investigation programme.
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Published
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Theme:
Patient and family
HSIB legacy content
Personal protective equipment (PPE): care workers delivering homecare during the COVID-19 response
published
This national intelligence report provides insight into a safety risk related to PPE requirements for care workers delivering homecare during the COVID-19 response.
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Published
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Theme:
Coronavirus (COVID-19)
HSIB legacy content
Neonatal collapse alongside skin-to-skin contact
published
In March 2020 we published a national learning report to highlight the themes emerging from the initial investigations carried out as part of our maternity investigation programme.
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Published
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Theme:
Maternity, Communication and decision making
HSIB legacy content
Early warning scores to detect deterioration in COVID-19 inpatients
published
This national intelligence report provides insight into a safety risk when using early warning scores to detect deterioration in patients with coronavirus (COVID-19) on general hospital wards.
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Published
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Theme:
Hospital care, Coronavirus (COVID-19)
HSIB legacy content
Severe brain injury, early neonatal death and intrapartum stillbirth associated with group B streptococcus infection
published
In February 2020 we published a national learning report to highlight the themes emerging from the initial investigations carried out as part of our maternity investigation programme. These initial investigations were carried out between April 2018 and December 2019. One of the themes highlighted w…
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Published
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Theme:
Maternity, Communication and decision making
HSIB legacy content
Summary of themes arising from the HSIB maternity programme
published
This national learning report highlights the themes emerging from the initial investigations carried out as part of our maternity investigation programme. It looks at maternity investigations carried out by HSIB between April 2018 and December 2019.
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Published
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Theme:
Maternity, Patient safety themes