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 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 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 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 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 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)