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Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB).

ISMP Medication Safety Alert! Acute Care Edition. October 8, 2020;25(20):1-4

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October 21, 2020

ISMP Medication Safety Alert! Acute Care Edition. October 8, 2020;25(20):1-4

In-depth investigations provide multidisciplinary insights that inform sustainable improvement opportunities. This newsletter story highlights a drug administration error examination by a dedicated office in the United Kingdom highlight the value of a commitment to deep, non-punitive analysis of patient safety incidents to enable transparency and learning.