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Safety Spotlight: Investigations into equipment and technology used for continuous fetal heart rate monitoring

MNSI has completed Investigations into equipment and technology used for continuous fetal heart rate monitoring.
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MNSI Exploring learning webinars (1)

NEW WEBINAR SERIES: Exploring learnings from MNSI safety investigations

We are starting a new series of webinars in 2025 which will explore learnings and thematic analysis from our safety investigations.
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Shaping the future of MNSI: a new three year strategy

Work has begun to develop a new three-year strategy for MNSI.
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MNSI response to Sands Fetal Movement Report 12 May 2025

We welcome the publication of Sands' "Improving information and guidance about fetal movements: a horizon scanning project" report. This important work aligns closely with key themes w…
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MNSI pilots COMPASS - a new patient safety tool

COMPASS (Culture of Organisations and its iMpact on PAtientS’ Safety) is a new patient safety tool to help understand the impact of organisational culture on patient safety and is currently being tri…
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Safety Spotlight: Delayed escalation in abnormal CTGs

MNSI has completed a number of investigations in which time limits, as described in national guidance, have delayed categorisation of CTG recordings, resulting in delays in escalation.
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Introducing COMPASS: A new safety tool to help understand the impact of culture on patient safety

COMPASS (Culture of Organisations and its iMpact on PAtientS’ Safety) is a tool developed by MNSI to provide a standardised process for our staff to articulate, analyse, and feedback observations abo…
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Safety Spotlight: Prescribing and dispensing of low molecular weight heparin

Things MNSI recommend considering when prescribing low molecular weight heparin to avoid incorrect doses being dispensed.
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MNSI Exploring learning webinars (1)

WEBINAR SERIES 1: Catch up with previous webinars

Catch up with our series of webinars, which explore learnings and thematic analysis from our safety investigations.
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Safety Spotlight: Incomplete observations generating incorrect EWS

MNSI has investigated a number of patient safety events where an incomplete set of observations generated an early warning score (EWS) via an electronic patient record (EPR) system.
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Safety Spotlight: Changes to the MNSI investigation report template

On 1st April 2024, six months after the transition to being hosted by the CQC, MNSI changed their investigation reports and process.
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Safety Spotlight: Maternal Deaths in the first trimester from Venous Thromboembolism (VTE)

MNSI has undertaken investigations of maternal deaths in the first trimester from venous thromboembolism (VTE)
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Safety Spotlight: Patient Ethnicity Data Collection

MNSI has found that inaccurate or missing recordings of a woman’s ethnicity have impacted her subsequent pathway of care.
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Meet our Clinical Fellows

In September we welcomed two clinical fellows to support our work to improve maternity safety in England.Our clinical fellows have been supporting a number of projects designed to analyse thematic fi…
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