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A Thematic Analysis of HSIB's First 22 Investigations. 

Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.

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September 29, 2021

Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.

In-depth failure investigations provide improvement insights for individuals and organizations alike. This report analyzes a collection of UK National Health Service incident examinations and provides recommendations for improvement on themes related to care transitions and access, decision making, communication, and point-of-care activity.