Maternity investigation programme year in review 2022/23
HSIB legacy publication
Summary of highlights, themes and future work.
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Maternity investigation programme year in review 2021/22
HSIB legacy publication
Summary of highlights, themes and future work.
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Maternity investigation programme year in review 2020/21
HSIB legacy publication
Summary of highlights, themes and future work.
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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.
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Factors affecting the delivery of safe care in midwifery units
National learning report
National learning report.
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Learning from maternal death investigations during the first wave of the COVID-19 pandemic
National learning report
HSIB legacy publication
National learning report.
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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.
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Assessment of risk during the maternity pathway
National learning report
HSIB legacy publication
National learning report.
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Intrapartum stillbirth: learning from maternity safety investigations that occurred during the COVID-19 pandemic 1 April to 30 June 2020
National learning report
HSIB legacy publication
National learning report.
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Severe brain injury, early neonatal death and intrapartum stillbirth associated with larger babies and shoulder dystocia
National learning report
HSIB legacy publication
National learning report.
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