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)
COMPASS Pilot shows promise for improving maternity safety culture
COMPASS (Culture of Organisations and its iMPact on PAtientS’ Safety), a tool developed to help healthcare staff identity and address cultural factors affecting patient safety in maternity services, …
A baby received an exchange blood transfusion. This is a specialist and complex procedure with associated risks (and is now infrequently performed in most neonatal units).
