HSSIB investigations

Articles in this category

1. Patient safety across regional care pathways: learning from an HSSIB investigation pilot (18 June 2026)

   • Investigation
   • Commisioning
   • (and 4 more)

     Tagged with:

     • Investigation
     • Commisioning
     • Care coordination
     • Communication
     • Decision making
     • Collaboration

   By Patient Safety Learning, 18 June

   • 0 comments
   • 152 views
   • 
   • Added by Patient Safety Learning
   • 18 June

2. Electronic prescribing and medicines administration: procurement and safety learning in acute hospitals (HSSIB, 28 May 2026)

   • Investigation
   • Adminstering medication
   • (and 4 more)

     Tagged with:

     • Investigation
     • Adminstering medication
     • Patient safety incident
     • Decision making
     • Prescribing
     • Digital health

   By Patient Safety Learning, 28 May

   • 0 comments
   • 272 views
   • 
   • Added by Patient Safety Learning
   • 28 May

3. HSSIB: Roundtable explores bias and discrimination in NHS patient safety investigations (2026)

   • Investigation
   • Bias
   • (and 2 more)

     Tagged with:

     • Investigation
     • Bias
     • Health inequalities
     • Discrimination

   By Patient Safety Learning, 22 May

   • 0 comments
   • 191 views
   • 
   • Added by Patient Safety Learning
   • 22 May

4. HSSIB investigation. Insulin: supporting safe self-administration for patients in the community with a disability (19 May 2026)

   • Investigation
   • Home
   • (and 6 more)

     Tagged with:

     • Investigation
     • Home
     • Carer
     • Patient
     • Diabetes
     • Community care
     • Learning disabilities
     • Disability

   By Patient Safety Learning, 19 May

   • 0 comments
   • 276 views
   • 
   • Added by Patient Safety Learning
   • 19 May

5. Safety and quality in healthcare: why the distinction is important (14 May 2026)

   • Quality improvement
   • Investigation
   • (and 1 more)

     Tagged with:

     • Quality improvement
     • Investigation
     • Research

   By Patient Safety Learning, 14 May

   • 0 comments
   • 128 views
   • 
   • Added by Patient Safety Learning
   • 14 May

6. Mental health: attempted suicide while under the care of community services (HSSIB, 23 April 2026)

   • Investigation
   • Mental health
   • (and 4 more)

     Tagged with:

     • Investigation
     • Mental health
     • Self harm/ suicide
     • Community care
     • PSIRF
     • Organisational learning

   By Patient Safety Learning, 24 April

   • 1 comment
   • 464 views
   • 
   • Comment by Harriet Vogt
   • 25 April

7. Mental health crisis care: legislative challenges in emergency departments (HSSIB, 9 April 2026)

   • Mental health
   • Investigation
   • (and 6 more)

     Tagged with:

     • Mental health
     • Investigation
     • Accident and Emergency
     • Policies
     • Legal issue
     • Patient harmed
     • Patient suffering
     • Staff safety

   By Patient Safety Learning, 9 April

   • 0 comments
   • 501 views
   • 
   • Added by Patient Safety Learning
   • 9 April

8. HSSIB investigation. Healthcare provision in prisons: needs assessments and disability access (2 April 2026)

   • Prison
   • Investigation
   • (and 5 more)

     Tagged with:

     • Prison
     • Investigation
     • Disability
     • Accessibility
     • Healthcare
     • Infrastructure / building / equipment
     • Risk assessment

   By Patient Safety Learning, 8 April

   • 0 comments
   • 201 views
   • 
   • Added by Patient Safety Learning
   • 8 April

9. HSSIB investigation. Insulin: supporting safe administration in inpatient settings (26 March 2026)

   • Diabetes
   • Adminstering medication
   • (and 2 more)

     Tagged with:

     • Diabetes
     • Adminstering medication
     • Medication
     • Investigation

   By Patient Safety Learning, 26 March

   • 0 comments
   • 364 views
   • 
   • Added by Patient Safety Learning
   • 26 March

10. Building investigation excellence: our strategy for strengthening the capability of healthcare investigations (HSSIB, 27 February 2026)

    • Investigation
    • Organisational development
    • (and 3 more)

      Tagged with:

      • Investigation
      • Organisational development
      • Skills
      • Leadership
      • Patient safety strategy

    By Patient Safety Learning, 27 February

    • 0 comments
    • 305 views
    • 
    • Added by Patient Safety Learning
    • 27 February

11. Insulin: supporting safe self-administration for patients in the community with a mental health problem (HSSIB, 26 February 2026)

    • Investigation
    • Diabetes
    • (and 3 more)

      Tagged with:

      • Investigation
      • Diabetes
      • Adminstering medication
      • Mental health
      • Community care

    By Patient Safety Learning, 27 February

    • 0 comments
    • 366 views
    • 
    • Added by Patient Safety Learning
    • 27 February

12. HSSIB: Why I worry the NHS could slip backwards on patient safety (11 February 2026)

    • Investigation
    • Patient harmed
    • (and 3 more)

      Tagged with:

      • Investigation
      • Patient harmed
      • Patient safety incident
      • Organisational culture
      • Organisational learning

    By Patient Safety Learning, 11 February

    • 0 comments
    • 370 views
    • 
    • Added by Patient Safety Learning
    • 11 February

13. Making cancer care safer: what we’ve learnt from our investigations (HSSIB, 4 February 2026)

    • Investigation
    • Cancer
    • (and 1 more)

      Tagged with:

      • Investigation
      • Cancer
      • Recommendations

    By Patient Safety Learning, 4 February

    • 0 comments
    • 359 views
    • 
    • Added by Patient Safety Learning
    • 4 February

14. Corridor care: Patient Safety Learning’s response to the latest HSSIB report (8 January 2026)

    • Investigation
    • Hospital corridor
    • (and 1 more)

      Tagged with:

      • Investigation
      • Hospital corridor
      • Accident and Emergency

    By Mark Hughes, 8 January

    • 0 comments
    • 2,866 views
    • 
    • Added by Mark Hughes
    • 8 January

15. HSSIB Investigation Report: Patient care in temporary care environments (8 January 2026)

    • Investigation
    • Hospital corridor
    • (and 1 more)

      Tagged with:

      • Investigation
      • Hospital corridor
      • Accident and Emergency

    By Mark Hughes, 8 January

    • 0 comments
    • 655 views
    • 
    • Added by Mark Hughes
    • 8 January

16. Patient safety and electronic patient record systems: Patient Safety Learning’s response to HSSIB report (27 November 2025)

    • Electronic Patient Record
    • Digital health
    • (and 3 more)

      Tagged with:

      • Electronic Patient Record
      • Digital health
      • Implementation
      • Technology
      • Human factors

    By Mark Hughes, 27 November, 2025

    • 0 comments
    • 1,735 views
    • 
    • Added by Mark Hughes
    • 27 November, 2025

17. HSSIB Investigation Report: Patient safety issues associated with electronic patient record (EPR) systems – a thematic review (27 November 2025)

    • Electronic Patient Record
    • Digital health
    • (and 3 more)

      Tagged with:

      • Electronic Patient Record
      • Digital health
      • Implementation
      • Technology
      • Human factors

    By Mark Hughes, 27 November, 2025

    • 0 comments
    • 1,460 views
    • 
    • Added by Mark Hughes
    • 27 November, 2025

18. HSSIB Investigation Report. 12-lead electrocardiograms (ECGs) in ambulance services: diagnosis of suspected ST elevation myocardial infarction (STEMI)

    • Ambulance
    • Medicine - Cardiology
    • (and 3 more)

      Tagged with:

      • Ambulance
      • Medicine - Cardiology
      • Diagnosis
      • Investigation
      • Recommendations

    By Mark Hughes, 30 October, 2025

    • 0 comments
    • 509 views
    • 
    • Added by Mark Hughes
    • 30 October, 2025

19. Investigating under the Patient Safety Incident Response Framework (PSIRF): Patient Safety Learning’s response to HSSIB investigation

    • Investigation
    • Patient safety incident
    • (and 8 more)

      Tagged with:

      • Investigation
      • Patient safety incident
      • PSIRF
      • Integrated Care Board (ICB)
      • Implementation
      • Recommendations
      • Patient engagement
      • Staff support
      • Leadership
      • System safety

    By Patient Safety Learning, 9 October, 2025

    • 0 comments
    • 2,222 views
    • 
    • Added by Patient Safety Learning
    • 9 October, 2025

20. HSSIB Investigation Report. Investigating under the Patient Safety Incident Response Framework (PSIRF): sharing HSSIB learning for future development

    • Investigation
    • Patient safety incident
    • (and 6 more)

      Tagged with:

      • Investigation
      • Patient safety incident
      • PSIRF
      • Integrated Care Board (ICB)
      • Recommendations
      • Staff support
      • Leadership
      • England

    By Mark Hughes, 9 October, 2025

    • 0 comments
    • 1,441 views
    • 
    • Added by Mark Hughes
    • 9 October, 2025

21. HSSIB impact: life-saving difference for acute aortic dissection patients (19 September 2025)

    • Emergency medicine
    • Investigation
    • (and 2 more)

      Tagged with:

      • Emergency medicine
      • Investigation
      • Patient death
      • Medicine - Cardiology

    By Patient Safety Learning, 19 September, 2025

    • 0 comments
    • 455 views
    • 
    • Added by Patient Safety Learning
    • 19 September, 2025

22. HSSIB blog: WHO calls for safe care for every newborn and every child (17 September 2025)

    • WPSD25
    • Investigation
    • (and 3 more)

      Tagged with:

      • WPSD25
      • Investigation
      • Recommendations
      • Paediatrics
      • Children and Young People

    By Patient Safety Learning, 18 September, 2025

    • 0 comments
    • 335 views
    • 
    • Added by Patient Safety Learning
    • 18 September, 2025

23. HSSIB Investigation Report: An exploratory review of maternity and neonatal services (19 August 2025)

    • Investigation
    • Maternity
    • (and 2 more)

      Tagged with:

      • Investigation
      • Maternity
      • Implementation
      • Health inequalities

    By Mark Hughes, 19 August, 2025

    • 0 comments
    • 916 views
    • 
    • Added by Mark Hughes
    • 19 August, 2025

24. HSSIB investigation report. Medication not given: discharge from an acute hospital to the community (14 August 2025)

    • Discharge
    • Medication
    • (and 5 more)

      Tagged with:

      • Discharge
      • Medication
      • Diabetes
      • Investigation
      • Community care
      • Patient harmed
      • Decision making

    By Patient Safety Learning, 14 August, 2025

    • 0 comments
    • 705 views
    • 
    • Added by Patient Safety Learning
    • 14 August, 2025

25. HSSIB investigation. Healthcare provision in prisons: data sharing and IT (24 July 2025)

    • Prison
    • Technology
    • (and 7 more)

      Tagged with:

      • Prison
      • Technology
      • Healthcare
      • Data
      • Information sharing
      • Investigation
      • Emergency medicine
      • Communication
      • Care coordination

    By Patient Safety Learning, 24 July, 2025

    • 0 comments
    • 432 views
    • 
    • Added by Patient Safety Learning
    • 24 July, 2025