Weight-based medication errors in children HSIB Report

Weight-based medication errors in children HSIB Report

Studies show that prescribing errors are the most frequent type of medication error in children’s inpatient settings.This investigation looks at the risks involved when prescribing, dispensing and administering medicine to children.Prescribing for children is usually...
Incorrect patient details on handover notes HSIB pilot report

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...

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 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...
HSIB Report Wrong site surgery – Wrong patient

HSIB Report Wrong site surgery – Wrong patient

HSIB reviewed the NHS national reporting systems to understand how often the wrong patient receives the wrong procedure. They launched this national investigation because the evidence found suggests that incorrect identification of patients is a contributory factor to...
Patient Safety Syllabus

Patient Safety Syllabus

Health Education England has published the first NHS-wide Patient Safety Syllabus which applies to all NHS employees and will result in all NHS employees receiving enhanced patient safety training. Written by the Academy of Medical Royal Colleges and commissioned by...