Accessibility
MNSI

Publications

Filter By:

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

Briefing paper: Remote hospital working

Briefing paper

A thematic review was conducted to explore the impact that remote hospital working can have on the provision of maternity and neonatal services.
Read Publication

Briefing paper: Newborn cooling practices

Briefing paper

MNSI has reviewed 20 investigations into the cooling of term babies across England. The findings show that national guidance on continuous temperature monitoring during cooling was not followed in half of cases.
Read Publication

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

Neonatal collapse alongside skin-to-skin contact

National learning report

HSIB legacy publication

National learning report
Read Publication

Maternity investigation programme year in review 2022/23

HSIB legacy publication

Summary of highlights, themes and future work.
Read Publication

Maternity investigation programme year in review 2021/22

HSIB legacy publication

Summary of highlights, themes and future work.
Read Publication

Maternity investigation programme year in review 2020/21

HSIB legacy publication

Summary of highlights, themes and future work.
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

Learning from maternal death investigations during the first wave of the COVID-19 pandemic

National learning report

HSIB legacy publication

National learning report.
Read Publication

East Kent Hospitals University NHS Foundation Trust: HSIB summary report

HSIB legacy publication

A summary of the investigations undertaken with East Kent Hospitals University NHS Foundation Trust.
Read Publication
MNSI

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