Add this result to my export selection Black people, racism and human rights Source: House of Commons (Add filter) Source: House of Lords (Remove filter) Published by House of Lords;House of Commons, 04 November 2020 In response to the awful killing of George Floyd in the US, Black Lives Matter protests in the UK have highlighted once again the racism and inequality that exists here. Racial inequalities in the... Read Summary Type: Primary Research (Remove filter)
Add this result to my export selection COVID-19 insights : impact on workforce skills (PDF) Source: Skills for Health (Remove filter) Published by Skills for Health, 20 August 2020 The impact of COVID-19 on employers and their workforce, has been far-reaching and will continue to exert a considerable influence on service delivery for some time to come. The last few months... Read Summary Type: Primary Research (Remove filter)
Add this result to my export selection Assistant practitioners in the NHS in England (PDF) Source: Skills for Health (Remove filter) Published by Skills for Health, 01 May 2015 This report examines the use of Assistant Practitioners in the NHS in England, explores the benefits of their use and the barriers to their further implementation, and also identifies ways in which... Read Summary Type: Primary Research (Remove filter)
Add this result to my export selection Recognising and responding to critically unwell patients (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 20 May 2019 Problems in recognising and responding to deteriorating patients continues to be a major source of severe harm and preventable death in hospitals. Type: Safety Alerts (Remove filter)
Add this result to my export selection Undetected button/coin cell battery ingestion in children (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 30 July 2019 This investigation looks at the undetected ingestion of button/coin cell batteries in children. Type: Safety Alerts (Remove filter)
Add this result to my export selection Inadvertent administration of an oral liquid medicine into a vein (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 08 April 2019 This investigation emphasises that complex and fragmented medicine safety processes are putting patients across the country at risk. Type: Safety Alerts (Remove filter)
Add this result to my export selection Piped supply of medical air and oxygen (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 26 February 2019 This investigation focuses on the design and implementation of patient safety alerts. Type: Safety Alerts (Remove filter)
Add this result to my export selection Provision of mental health care to patients presenting at the emergency department (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 22 November 2018 In England, it is estimated that 5% of all hospital emergency department attendances are primarily due to mental ill-health. Type: Safety Alerts (Remove filter)
Add this result to my export selection Transition from child and adolescent mental health services to adult mental health services (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 09 July 2018 We investigate how young people are supported in the transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) when they turn 18 years old. Type: Safety Alerts (Remove filter)
Add this result to my export selection Administering a wrong site nerve block (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 12 September 2018 This investigation seeks to identify opportunities and systemic remedies to reduce the risk of wrong site anaesthetic nerve blocks occurring. Type: Safety Alerts (Remove filter)
Add this result to my export selection Transfer of critically ill adults (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 23 January 2019 This investigation – the first we launched – looks at the transfer of critically ill adults. Type: Safety Alerts (Remove filter)
Add this result to my export selection Implantation of wrong prostheses during joint replacement surgery (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 18 June 2018 Our first complete investigation relates to the implantation of the wrong prostheses (artificial body parts) during joint replacement surgery — a surgical never event. Type: Safety Alerts (Remove filter)
Add this result to my export selection Wrong patient details on blood sample (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 23 September 2019 Wrong blood in tube (WBIT) incidents can occur when blood samples are taken from patients and are either miscollected (blood is taken from the wrong patient but labelled with the correct patient... Type: Safety Alerts (Remove filter)
Add this result to my export selection Design and safe use of portable oxygen systems (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 28 November 2018 NHS Improvement issued a patient safety alert on medical devices in January 2018. Type: Safety Alerts (Remove filter)
Add this result to my export selection Insertion of an incorrect intraocular lens (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 12 November 2018 Cataract removal and implantation of an artificial lens is the most common surgical procedure undertaken by the NHS. Type: Safety Alerts (Remove filter)
Add this result to my export selection Failures in communication or follow-up of unexpected significant radiological findings (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 17 July 2019 X-rays are the most common radiological examination. Type: Safety Alerts (Remove filter)
Add this result to my export selection Management of chronic health conditions in prisons (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 09 October 2019 Each day around 120 prisoners with ongoing medication needs are moved between prisons. Type: Safety Alerts (Remove filter)
Add this result to my export selection Delayed recognition of acute aortic dissection (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 22 January 2020 Acute aortic dissection is a relatively rare but life-threatening condition. Type: Safety Alerts (Remove filter)
Add this result to my export selection Potential under-recognised risk of harm from the use of propranolol (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 05 February 2020 This patient safety investigation explores the under recognised toxicity of propranolol in overdose. Type: Safety Alerts (Remove filter)
Add this result to my export selection Medicine omissions in learning disability secure units (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 08 January 2020 We’ve launched a national investigation looking at medicine omissions in learning disability secure units. Type: Safety Alerts (Remove filter)
Add this result to my export selection Detection of retained vaginal swabs and tampons following childbirth (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 09 December 2019 Women can be left in severe pain and at risk of infection if swabs and tampons used after childbirth are accidentally left in the vagina. Type: Safety Alerts (Remove filter)
Add this result to my export selection Outpatient appointments intended but not booked after inpatient stays (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 22 January 2020 We have identified a safety risk involving outpatient follow-up appointments which are intended but not booked after an inpatient stay. Type: Safety Alerts (Remove filter)
Add this result to my export selection Undetected button/coin cell battery ingestion in children (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 25 June 2019 This investigation looks at the undetected ingestion of button/coin cell batteries in children. Type: Safety Alerts (Remove filter)
Add this result to my export selection Recognising and responding to critically unwell patients (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 28 June 2019 Problems in recognising and responding to deteriorating patients continues to be a major source of severe harm and preventable death in hospitals. Type: Safety Alerts (Remove filter)
Add this result to my export selection Lack of timely monitoring of patients with glaucoma (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 06 January 2020 Lack of timely follow-up for glaucoma patients is a recognised national issue across the NHS. Type: Safety Alerts (Remove filter)
Add this result to my export selection Lack of timely monitoring of patients with glaucoma (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 08 January 2020 Lack of timely follow-up for glaucoma patients is a recognised national issue across the NHS. Type: Safety Alerts (Remove filter)
Add this result to my export selection Prescribing and administering insulin from a pen device in hospital (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 04 February 2020 We’ve launched a national investigation looking at administering insulin from a pen device in hospitals. Type: Safety Alerts (Remove filter)
Add this result to my export selection Management of venous thromboembolism risk in patients following thrombolysis for an acute stroke (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 09 October 2020 Every year in the UK over 100,000 people have a stroke. Type: Safety Alerts (Remove filter)
Add this result to my export selection The diagnosis of ectopic pregnancy (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 02 March 2020 This patient safety investigation explores the diagnosis of ectopic pregnancy. Type: Safety Alerts (Remove filter)
Add this result to my export selection Electronic prescribing and medicines administration systems and safe discharge (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 24 October 2019 We’ve identified a significant safety risk posed by poorly implemented electronic prescribing and medicines administration (ePMA) systems. Type: Safety Alerts (Remove filter)
Add this result to my export selection Management of acute onset testicular pain (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 09 September 2019 Since 2016, across England there have been more 3,500 hospital admissions each year with suspected testicular torsion. Type: Safety Alerts (Remove filter)
Add this result to my export selection Delays to intrapartum intervention once fetal compromise is suspected (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 16 October 2020 We have identified a safety risk in maternity care relating to delays to intrapartum intervention once fetal compromise is suspected. Type: Safety Alerts (Remove filter)
Add this result to my export selection The role of clinical pharmacy services in helping to identify and reduce high-risk prescribing errors in hospital (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 24 September 2020 Research suggests that 237 million medication errors occur at some point in the medication process in England per year. Type: Safety Alerts (Remove filter)
Add this result to my export selection Undiagnosed cardiomyopathy in a young person with autism (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 29 June 2020 People with additional needs receiving care in hospital may require adjustments to promote their safety and improve their experience of care. Type: Safety Alerts (Remove filter)
Add this result to my export selection Residual drugs in cannulae and extension lines (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 07 July 2020 We have started an investigation looking at the risks to patients when intravenous (IV) drugs are retained in cannulae and extension lines. Type: Safety Alerts (Remove filter)
Add this result to my export selection Management of chronic asthma in children aged 16 years and under (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 23 July 2020 Asthma is the most common lung disease in the UK. Type: Safety Alerts (Remove filter)
Add this result to my export selection COVID-19 transmission in hospitals: management of the risk (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 26 October 2020 This prospective patient safety investigation looks at how hospitals can minimise the likelihood of patients catching coronavirus (COVID-19) on acute hospital wards. Type: Safety Alerts (Remove filter)
Add this result to my export selection Unplanned delayed removal of ureteric stents (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 20 October 2020 This investigation relates to patients with kidney stones who have had a ureteric stent inserted and where the stent is left in longer than planned. Type: Safety Alerts (Remove filter)
Add this result to my export selection Placement of nasogastric tubes (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 15 December 2020 This investigation report looks at nasogastric tubes and how previously identified safety improvements for the placement of these tubes are put into practice. Type: Safety Alerts (Remove filter)