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The Human Factor – Learning from Gina’s story

by admin | Aug 30, 2018 | Culture, Design, Human Factors & Ergonomics, Policy & Investigation, Primary & Social Care, Secondary Care, Training, Uncategorized

Joint Committee published report on Health Service Safety Investigations Bill

Joint Committee published report on Health Service Safety Investigations Bill

by admin | Aug 2, 2018 | Policy & Investigation, Primary & Social Care, Secondary Care

The House of Lords and House of Commons created a Joint Select Committee to review the draft Health Service Safety Investigations Bill.  This Committee was appointed to gather evidence and give feedback on the draft Bill.  CHFG consulted with experts to provide...
World Health Organisation – 10 global facts on Patient Safety

World Health Organisation – 10 global facts on Patient Safety

by admin | Jul 30, 2018 | Improvement, Primary & Social Care, Secondary Care

According to research by the World Health Organisation, patient safety is a serious global public health concern. There is a 1 in a million chance of a person being harmed while travelling by plane. In comparison, there is a 1 in 300 chance of a patient being harmed...
HSIB Investigation report – transition from child mental health services to adult

HSIB Investigation report – transition from child mental health services to adult

by admin | Jul 10, 2018 | Policy & Investigation, Primary & Social Care, Secondary Care

This investigation followed the Healthcare Safety Investigation Branch being notified of an 18-year-old who died by suicide shortly after transitioning from child and adolescent to adult mental health services. The investigation identified possible issues regarding...
Updated Just Culture Guide – NHS Improvement

Updated Just Culture Guide – NHS Improvement

by admin | Jul 9, 2018 | Culture, Primary & Social Care, Secondary Care

NHS Improvement have updated their Just Culture Guide. To download click here
HSIB first national investigation report – wrong prosthesis

HSIB first national investigation report – wrong prosthesis

by admin | Jun 28, 2018 | Policy & Investigation, Primary & Social Care, Secondary Care

The Healthcare Safety Investigation Branch (HSIB) has published its first investigation report relating to a surgical never event. The patient is a 63-year-old man who underwent hip replacement surgery. During this surgery, incompatible components were used. The error...
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