Our investigations focus on systems and processes in healthcare, identifying factors that could have led, or could potentially lead, to harm for patients. We do this without attributing blame or liability.
Our purpose is to improve patient and user safety by learning for improvement.
We decide for ourselves which serious adverse events or circumstances to investigate, the timing and scope of the investigations, and how this will be executed.
Our investigations are performed in dialogue with the parties involved, which include employees in health care services, patients/users of health care services and their families.
Our reports are public, however we make no references to the names and addresses of individuals involved. The location where the adverse event happened is as a general rule not disclosed, as we go into cases that could have happened everywhere in the Norwegian healthcare and our goal is national learning and improvement.
NHIB's activities are regulated by Act of 16 June 2017 no. 56 on the Norwegian Healthcare Investigation Board.
About us
- NHIB = Ukom
- Formed in 2019
- Authorized by law
- 24 advisors with a broad range of expertise
- Improve patient safety through effective and independent investigations of patient safety concerns
- Contribute to learning after adverse events
Our role
- Independent national body
- Superior
- Close to the patient and users
- Close to the service
- Non-sanctioning
- Source protective
- Learning and improving
How do we select events for investigation?
- Serious
- Representative
- Relevant
- National significance
- Need for more knowledge
- Learning potential
- What themes do the individual events represent?
How can NHIB contribute to learning?
- Be close to the knowledge environments
- Be close to the clinicians
- Join existing networks and interest groups
- Use existing channels
- Sharpened message towards different target groups
- Clinical personnel as part-time employees
Our reports
Overview and summary reports in English.
Summary reports
Download our reports (complete reports in English)
- Death at a psychiatric intensive care ward (PDF)
Risk factors in conjunction with seclusion - Early diagnosis and treatment of serious illness in the febrile child (PDF)
- Adolescents with mental health issues (digital version)
- Investigation following the tragic drowning in Tromsø (PDF)
What can we learn about integration and refugee health? - Maintaining patient safety with new surgical and invasive methods (digital version)