A thematic analysis of HSIB's first 22 national investigations
HSIB Legacy
Published
Analysis
HSIB has analysed its first 22 HSIB national investigations to identify the recurring patient safety themes and to explore the impact so far of the 85 recommendations we have made to address them. The work was undertaken after it was recognised that similar issues were arising in our investigations, even when investigations were focused on different clinical fields.
No safety recommendations, observations, actions, learning prompts, scope items, or areas of improvement were extracted from this investigation.
This may be a launched investigation with no published scope bullets yet, or a thematic review without extractable formal items.
View the full investigation on HSSIB