Source · HSSIB Patient Safety Investigation
Sepsis: a patient with a urine infection
HSSIB’s introductionThis is the second investigation report we have published to help address patient safety risks associated with sepsis.
To support NHS organisations in investigating these types of incidents, HSSIB have modelled our investigations on the NHS Patient Safety Incident Response Framework (PSIRF) to increase local learning and provide examples of how PSIRF tools can be used to improve investigations.
To support NHS organisations in investigating these types of incidents, HSSIB have modelled our investigations on the NHS Patient Safety Incident Response Framework (PSIRF) to increase local learning and provide examples of how PSIRF tools can be used to improve investigations.
Published 26 June 2025
Published
Delayed diagnosis
Hospital care
Patient safety themes
Indexed content
3 areas of improvement
Areas of Improvement
Variability in the medical support accessed by nursing staff due to the medical care arrangements for the nursing home.
Difficulty for nursing staff getting medicines prescribed by GPs on the electronic patient record system.
Lack of involvement of families to support the assessment of confusion in patients.