From 5 March 2018 the hosting of StEIS, our system used to report and monitor the progress of Serious Incident investigations across the NHS, will transfer from Department of Health and Social Care (DHSC) IT systems to a new platform hosted by us. We outline what those changes mean to StEIS users. Contents When will […]
A warning alert has been issued on the risk of death and severe harm from failure to obtain and continue flow from oxygen cylinders. Patient Safety Alert – Risk of death and severe harm from failure to obtain and continue flow from oxygen cylinders The design of oxygen cylinders has changed over recent years with […]
A directive alert has been issued on the need to confirm intravenous (IV) lines and cannulae have been effectively flushed or removed at the end of the procedure. Patient Safety Alert – Confirming removal or flushing of lines and cannulae after procedures Patient Safety incidents are occurring from lapses in identifying and flushing all IV […]
A warning alert has been issued on the risk of harm and death from infusing total parenteral nutrition too rapidly in babies. Patient Safety Alert – Risk of severe harm and death from infusing total parenteral nutrition too rapidly in babies Total parenteral nutrition (TPN, also known as PN) is a method of providing nutrition […]
A resource alert has been issued to support providers to safely manage the transition from the Luer connector to NRFit™ for intrathecal and epidural procedures, and delivery of regional blocks. Resources to support safe transition from the Luer connector to NRFit™ for intrathecal and epidural procedures, and delivery of regional blocks Supporting information for Patient […]
A warning alert has been issued around the risk of death and severe harm from ingestion of superabsorbent polymer gel granules. Risk of death and severe harm from ingestion of polymer gel granules Superabsorbent polymer gel granules are widely used in health and social care, typically as small sachets placed in urine and vomit bowls. […]
A resource alert has been issued jointly by NHS Improvement and the Medicines and Healthcare products Regulatory Agency (MHRA) to support the safety of girls and women of childbearing potential being treated with valproate. Resources to support the safety of girls and women who are being treated with valproate Valproate, also known as valproic acid […]
The NHS is today (Tuesday 21 March) taking the precautionary step of writing to patients who have had certain types of open heart surgery to inform them that they may have a low risk of having contracted an infection caused by Mycobacterium chimaera (M. chimaera). Over the next two weeks, letters are being sent to […]
A resource alert has been issued to support NHS providers to reduce harm leading to avoidable admissions of full-term babies. Resources to support safer care for full-term babies We’ve produced a resource to support staff in preventing avoidable admissions of full-term babies. It is a priority for the NHS to reduce avoidable harm that can lead to […]
A patient safety alert has been issued to warn NHS providers of the risk of severe harm and death if an insulin needle and syringe is used to administer insulin withdrawn directly from a pen device or replacement cartridge. Risk of severe harm and death due to withdrawing insulin from pen devices Patient safety concerns […]