Incorrect patient details on handover notes HSIB pilot report

HSIB intends to publish up to four local investigation reports and a subsequent evaluation of the pilot. The reports will be published on this page as they are completed. The first report was published in November 2021 and subsequent reports will be published in early...

Jonathan O’Reilly, @TheQI_Guy explores the synergies between Quality Improvement and Human Factors with Heather Shearer and Nikki Davey.

Learning from adverse events in surgery

Narinder Kapur, visiting Professor of Neuropsychology at University College London shares his recent article published in Patient Safety in Surgery, regarding his recent hospital experience and the framework he has been using to learn lessons from adverse surgical...

The Safety for All campaign has produced a White Paper calling for improvements in, and between, patient and healthcare worker safety to prevent safety incidents and deliver better outcomes for all by:Improved understanding and advocacy of the mutual benefits to be...

HSIB National Learning Report

HSIB have produced their first National Learning Report.  Which summarises the first 22 investigations carried out.  These reports offer insight and learning about recurrent patient safety risks in NHS healthcare that have been identified through HSIB’s...

Managing Adverse Events A video made by Susanna Stanford & Sarah Seddon

Patient safety advocate and CHFG Ambassador Susanna Stanford and clinical pharmacist Sarah Seddon have created a film about managing adverse events in healthcare. Drawing together perspectives from patients and clinicians, they discuss how HCPs can prepare for things...