- Home >
- Safety Recommendations Log >
Showing results 11 - 20 from a total of 26
- Home >
- Safety Recommendations Log >
Insulin: supporting safe self-administration in vulnerable patient groups in the community
- Home >
- News, events and blog >
Disconnect in specialist diabetes care for adults with mental health problems
From a staff perspective, a patient experiencing a mental health problem with access to insulin was described as a “huge red flag”.
- Home >
- News, events and blog >
Report emphasises importance of clear information to support safe and timely medication administration post hospital discharge
In this case, the patient’s emergency readmission after not taking his insulin shows the real potential for harm when these systems don’t work as intended.
- Home >
- Patient safety investigations >
- Never events: analysis of HSIB's national investigations >
Never events: analysis of HSIB’s national investigations
She had insulin-treated type 2 diabetes and required high-dose insulin (500 units per ml) from an insulin pen device.
- Home >
- News, events and blog >
Investigation finds patients suffer harm as electronic communications fail to support their safe discharge from hospital
A patient who had recently been discharged from hospital was administered insulin by a community nurse.
- Home >
- Patient safety investigations >
- The use of an appropriate flush fluid with arterial lines >
Investigation report: The use of an appropriate flush fluid with arterial lines
These bundles include flush fluid and insulin.
- Home >
- News, events and blog >
HSSIB’s work to address patient safety concerns continues as usual
We’re also working on investigations that aim to improve the safety of insulin administration in both community and inpatient settings.
- Home >
- Patient safety investigations >
Never events: analysis of HSIB's national investigations
This national learning report analyses the findings of the investigations previously carried out by HSIB concerning incidents classified as never events.
- Home >
- Patient safety investigations >
- Workforce and patient safety >
Workforce and patient safety: electronic communications on patient discharge from acute hospitals
Vignette A A patient who had recently been discharged from hospital was administered insulin by a community nurse.