The Maternity and Newborn Safety Investigations (MNSI) programme is part of a national strategy to improve maternity safety across the NHS in England. MNSI has completed over 3500 independent safety investigations, using a standardised, system focused methodology, into maternity events, including 237 maternal deaths. Pulmonary embolism (PE) remains one of the leading causes of direct maternal deaths in the UK, resulting in 1.5 deaths per 100,000 maternities from 2019-2020. This webinar will explore the findings from MNSI's investigation into maternal deaths following pulmonary embolism.
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Patient Safety Learning, China Works SB203, 100 Black Prince Road Vauxhall, London, SE1 7SJ
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