Accessibility
MNSI

Publications

Filter By:

Clear All
Safety spotlight HSIB legacy publication National learning report Poster gallery Safety improvement example Briefing paper Safety recommendations Annual report Stakeholder bulletin Strategy Thematic review Programme Letters Conferences

Briefing paper: Birthing outside of guidance

Briefing paper

We have identified ‘birthing outside of guidance’ as a national learning theme through our maternity investigations. Between September 2018 and December 2023 we have made recommendations relating to birthing outside of guidance 33 times. 
Read Publication

Briefing paper: Learning from resuscitative hysterotomy after out-of-hospital cardiac arrest

Briefing paper

The Maternity and Newborn Safety Investigations (MNSI) programme has published a new briefing paper sharing learning from investigations of resuscitative hysterotomy (RH) following out-of-hospital cardiac arrest in pregnancy. The paper is intended to support midwives, obstetricians, anaesthetists, …
Read Publication

Second COMPASS programme launched

Programme

We are announcing today a second pilot programme of our innovative assessment tool designed to examine the impact of organisational culture on safe care. The initial pilot of the MNSI tool, called COMPASS – Culture of Organisations and its iMpact on PAtientS’ Safety ­­– ran in spring 2025.
Read Publication
MNSI

enquiries@mnsi.org.uk
© 2026 MNSI. All rights reserved.