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<rss version="2.0"><channel><title>Learn: HSSIB investigations</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/page/5/?d=1</link><description>Learn: HSSIB investigations</description><language>en</language><item><title>Harmed Patient Safety Governance role: An open letter from a patient safety campaigner</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/harmed-patient-safety-governance-role-an-open-letter-from-a-patient-safety-campaigner-r8302/</link><guid isPermaLink="false">8302</guid><pubDate>Wed, 30 Nov 2022 14:03:00 +0000</pubDate></item><item><title>HSIB - Clinical investigation booking systems failures interim report (24 November 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-clinical-investigation-booking-systems-failures-interim-report-24-november-2022-r8259/</link><guid isPermaLink="false">8259</guid><pubDate>Thu, 24 Nov 2022 09:24:00 +0000</pubDate></item><item><title>HSIB interim bulletin - Harm caused by delays in transferring patients to the right place of care (3 November 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-interim-bulletin-harm-caused-by-delays-in-transferring-patients-to-the-right-place-of-care-3-november-2022-r8050/</link><guid isPermaLink="false">8050</guid><pubDate>Thu, 03 Nov 2022 11:19:04 +0000</pubDate></item><item><title>Healthcare Safety Investigations Conference 2022: presentations and videos (21 September 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/healthcare-safety-investigations-conference-2022-presentations-and-videos-21-september-2022-r8011/</link><guid isPermaLink="false">8011</guid><pubDate>Fri, 28 Oct 2022 15:01:00 +0000</pubDate></item><item><title>HSIB&#x2019;s local investigation pilot: shared learning for local healthcare systems (13 October 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib%E2%80%99s-local-investigation-pilot-shared-learning-for-local-healthcare-systems-13-october-2022-r7915/</link><guid isPermaLink="false">7915</guid><pubDate>Thu, 13 Oct 2022 08:21:00 +0000</pubDate></item><item><title>HSIB investigation: NHS 111&#x2019;s response to callers with Covid-19-related symptoms during the pandemic (29 September 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-investigation-nhs-111%E2%80%99s-response-to-callers-with-covid-19-related-symptoms-during-the-pandemic-29-september-2022-r7764/</link><guid isPermaLink="false">7764</guid><pubDate>Thu, 29 Sep 2022 08:33:00 +0000</pubDate></item><item><title>HSIB - Management of preterm labour and birth of twins (25 August 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-management-of-preterm-labour-and-birth-of-twins-25-august-2022-r7476/</link><guid isPermaLink="false">7476</guid><pubDate>Tue, 06 Sep 2022 08:55:00 +0000</pubDate></item><item><title>HSIB: The use of an appropriate flush fluid with arterial lines (11 August 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-the-use-of-an-appropriate-flush-fluid-with-arterial-lines-11-august-2022-r7371/</link><guid isPermaLink="false">7371</guid><pubDate>Tue, 16 Aug 2022 10:47:00 +0000</pubDate></item><item><title>HSIB maternity investigation programme year in review 2021/22 (4 August 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-maternity-investigation-programme-year-in-review-202122-4-august-2022-r7331/</link><guid isPermaLink="false">7331</guid><pubDate>Fri, 05 Aug 2022 09:44:00 +0000</pubDate></item><item><title>HSIB: Administering high-strength insulin from a pen device in hospital (7 July 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-administering-high-strength-insulin-from-a-pen-device-in-hospital-7-july-2022-r7136/</link><guid isPermaLink="false">7136</guid><pubDate>Thu, 07 Jul 2022 08:28:00 +0000</pubDate></item><item><title>HSIB: Medicine omissions in learning disability secure units (23 June 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-medicine-omissions-in-learning-disability-secure-units-23-june-2022-r7048/</link><guid isPermaLink="false">7048</guid><pubDate>Thu, 23 Jun 2022 08:40:00 +0000</pubDate></item><item><title>HSIB: Harm caused by delays in transferring patients to the right place of care (16 June 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-harm-caused-by-delays-in-transferring-patients-to-the-right-place-of-care-16-june-2022-r6985/</link><guid isPermaLink="false">6985</guid><pubDate>Thu, 16 Jun 2022 08:33:00 +0000</pubDate></item><item><title>HSIB: Decontamination of surgical instruments (26 May 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-decontamination-of-surgical-instruments-26-may-2022-r6869/</link><guid isPermaLink="false">6869</guid><pubDate>Thu, 26 May 2022 08:54:00 +0000</pubDate></item><item><title>HSIB: Unintentional overdose of morphine sulfate oral solution (28 April 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-unintentional-overdose-of-morphine-sulfate-oral-solution-28-april-2022-r6703/</link><guid isPermaLink="false">6703</guid><pubDate>Thu, 28 Apr 2022 09:18:00 +0000</pubDate></item><item><title>HSIB: Provision of care for children and young people when accessing specialist gender dysphoria services (7 April 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-provision-of-care-for-children-and-young-people-when-accessing-specialist-gender-dysphoria-services-7-april-2022-r6575/</link><guid isPermaLink="false">6575</guid><pubDate>Thu, 07 Apr 2022 14:48:00 +0000</pubDate></item><item><title>HSIB - Clinical decision making: diagnosis of pulmonary embolism in emergency departments (24 March 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-clinical-decision-making-diagnosis-of-pulmonary-embolism-in-emergency-departments-24-march-2022-r6452/</link><guid isPermaLink="false">6452</guid><pubDate>Thu, 24 Mar 2022 11:41:00 +0000</pubDate></item><item><title>HSIB: Local integrated investigation pilot 3 - Transfer of a patient who had suffered a stroke to emergency care (17 March 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-local-integrated-investigation-pilot-3-transfer-of-a-patient-who-had-suffered-a-stroke-to-emergency-care-17-march-2022-r6392/</link><guid isPermaLink="false">6392</guid><pubDate>Thu, 17 Mar 2022 10:07:00 +0000</pubDate></item><item><title>HSIB: Emergency neonatal blood transfusion at birth following acute blood loss during and/or delivery (3 March 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-emergency-neonatal-blood-transfusion-at-birth-following-acute-blood-loss-during-andor-delivery-3-march-2022-r6276/</link><guid isPermaLink="false">6276</guid><pubDate>Thu, 03 Mar 2022 11:01:00 +0000</pubDate></item><item><title>HSIB: Unintentional overdose of paracetamol in adults with low bodyweight (24 February 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-unintentional-overdose-of-paracetamol-in-adults-with-low-bodyweight-24-february-2022-r6218/</link><guid isPermaLink="false">6218</guid><pubDate>Thu, 24 Feb 2022 10:55:00 +0000</pubDate></item><item><title>HSIB: Maternity pre-arrival instructions by 999 call handlers (17 February 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-maternity-pre-arrival-instructions-by-999-call-handlers-17-february-2022-r6162/</link><guid isPermaLink="false">6162</guid><pubDate>Thu, 17 Feb 2022 08:13:18 +0000</pubDate></item><item><title>HSIB: Sharing learning for shared care (28 January 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-sharing-learning-for-shared-care-28-january-2022-r6075/</link><guid isPermaLink="false">6075</guid><pubDate>Fri, 04 Feb 2022 18:10:00 +0000</pubDate></item><item><title>HSIB: Weight-based medication errors in children (3 February 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-weight-based-medication-errors-in-children-3-february-2022-r6063/</link><guid isPermaLink="false">6063</guid><pubDate>Thu, 01 Jan 1970 00:00:00 +0000</pubDate></item><item><title>HSIB: Local integrated investigation pilot 2. Incorrect patient details handover (20 January 2022)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-local-integrated-investigation-pilot-2-incorrect-patient-details-handover-20-january-2022-r5979/</link><guid isPermaLink="false">5979</guid><pubDate>Fri, 21 Jan 2022 09:11:00 +0000</pubDate></item><item><title>HSIB: Recognition of the acutely ill infant (9 December 2021)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-recognition-of-the-acutely-ill-infant-9-december-2021-r5715/</link><guid isPermaLink="false">5715</guid><pubDate>Thu, 09 Dec 2021 11:41:00 +0000</pubDate></item><item><title>HSIB: Local integrated investigation pilot 1. Incorrect patient identification (25 November 2021)</title><link>https://www.pslhub.org/learn/investigations-risk-management-and-legal-issues/investigations-and-complaints/investigation-reports/hsib-investigations/hsib-local-integrated-investigation-pilot-1-incorrect-patient-identification-25-november-2021-r5619/</link><guid isPermaLink="false">5619</guid><pubDate>Thu, 25 Nov 2021 09:52:00 +0000</pubDate></item></channel></rss>
