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...
by admin | Jul 9, 2018 | Culture, Primary & Social Care, Secondary Care
NHS Improvement have updated their Just Culture Guide. To download click here
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...
by admin | Jun 28, 2018 | Policy & Investigation, Primary & Social Care, Secondary Care
The draft bill proposes setting up the Health Service Safety Investigations Body (HSSIB). The HSSIB will conduct investigations which focus on learning from patient safety incidents in the NHS, to reduce health care harm and improve patient care. The draft bill allows...
by admin | Jun 28, 2018 | Culture, Policy & Investigation, Primary & Social Care, Secondary Care
The review makes recommendations to support a more just and learning culture in the healthcare system. It covers: the process for investigating gross negligence manslaughter reflective practice of healthcare professionals the regulation of healthcare professionals...
by admin | May 21, 2018 | Culture, Primary & Social Care, Secondary Care
This Health Foundation evidence scan provides a brief overview of some of the tools available to measure safety culture and climate in health care. Safety culture refers to the way patient safety is thought about and implemented within an organisation and the...
