A Patient Safety Alert has been issued by NHS England to raise awareness of the risk of death or severe harm due to inadvertent injection of skin preparation solution. The alert has been issued as a result of incidents being reported to the National Reporting and Learning System (NRLS). The alert reiterates previous guidance and […]
A stage one alert has been issued to raise awareness of the risk of death or severe harm due to inadvertent injection of skin preparation solution. Risk of death or severe harm due to inadvertent injection of skin preparation solution The alert has been issued as a result of incidents being reported to the National […]
A Patient Safety Alert has been issued by NHS England to raise awareness of the introduction of new medical device connectors. The connectors are being introduced to prevent the danger of connecting the wrong types of medical devices together. All NHS providers who use medical devices affected by the change are asked to ensure that […]
A stage one warning has been issued to raise awareness of the introduction of new medical device connectors. Managing risks during the transition period to new ISO connectors for medical devices To reduce the risk of misconnections, the International Organization for Standardisation (ISO) has developed a series of new International Standards for small bore connectors […]
NHS England is making it easier than ever before for general practice staff to report patient safety incidents. A new e-form is being launched today to enable general practice staff to quickly and easily report patient safety incidents to the National Reporting and Learning System (NRLS) – the national patient safety incident database. Reports of […]
A stage one warning has been issued to raise awareness of unintentional interruption of non-invasive ventilation (NIV). Risk of severe harm and death from unintentional interruption of non-invasive ventilation The National Reporting and Learning System (NRLS) has identified patient safety incidents where harm has been caused when the oxygen supply was found to be disconnected. […]
A patient safety alert has been issued by NHS England to raise awareness of unintentional interruption of non-invasive ventilation (NIV). The National Reporting and Learning System (NRLS) has identified patient safety incidents where harm has been caused when the oxygen supply was found to be disconnected. Some non-invasive ventilators may not have alarms to warn […]
A stage one warning has been issued to raise awareness of the need for proper storage and management of thickening powder used as part of the treatment of people with dysphagia (swallowing problems). Risk of death from asphyxiation by accidental ingestion of fluid/food thickening powder The thickening powder is added to foods and liquids to […]
A patient safety alert has been issued by NHS England to raise awareness of the need for proper storage and management of thickening powder used as part of the treatment of people with dysphagia (swallowing problems). The thickening powder is added to foods and liquids to bring them to the right consistency/texture so they can […]
A patient safety alert has been issued by NHS England to raise awareness of harm from using Low Molecular Weight Heparins (LMWHs) where a situation, patient’s condition, or the use of other medications mean the LMWHs could cause harm or death. Low Molecular Weight Heparins (LMWHs) are frequently used for treatment and to prevent a […]