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 investigations. The reports present a digest of relevant, previously investigated events, highlight recurring themes and, where appropriate, make safety recommendations.

National learning reports can be used by healthcare leaders, policymakers and the public to aid their knowledge of systemic patient safety risks and the underlying contributory factors, and to inform decision making to improve patient safety.