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 system focused methodology, into maternity events, including direct and indirect maternal deaths in pregnancy and up to 6 weeks postpartum. In this series of webinars we will explore a variety of learnings and thematic analysis. Please see below to catch up on all the webinars in this series.
Catch up with all the webinars in the series
Exploring learning from MNSI safety investigations: What MNSI investigations tell us about neonatal resuscitation.
Slides: What MNSI investigations tell us about neonatal resuscitation.
Exploring learning from MNSI safety investigations: Health Equity Warning Score (HEWS) Tool and the Health Equity Assessment and Resource Toolkit (HEART)
Slides: Health Equity Warning Score (HEWS) Tool and the Health Equity Assessment and Resource Toolkit (HEART)
Safety spotlight: HbA1c testing in women with sickle cell trait
Laboratory tests for glycosylated haemoglobin (HbA1c) can underestimate past glycaemia in people with haemoglobin variants, such as those with sickle cell trait. This is because there is an increased…
We welcome the publication of the Maternal Care Bundle by NHS England and are delighted to have been a key contributor in its development. A series of safety spotlights follow.
Safety spotlight: Late diagnosis of breech presentation
MNSI has completed a number of investigations where there has been a late diagnosis, in established labour, of a baby being in breech presentation during an induction of labour.
