A stage three alert has been issued to support NHS providers that supply medical air using medical gas pipeline systems (MGPSs) to reduce the risk of harm from oxygen tubing being connected to air flowmeters. Reducing the risk of oxygen tubing being connected to air flowmeters Supporting information for patient safety alert: Reducing the risk […]
A stage three alert has been issued on the restricted use of open systems for injectable medication. Open systems include gallipots or other types of open container such as moulded plastic procedure trays. Restricted use of open systems for injectable medication This alert has been issued to stop the use of open systems for injectable […]
The Care Quality Commission (CQC) and NHS England are working with Marie Stopes International to make sure that patients are protected from potential harm when undergoing pregnancy terminations. Following CQC’s inspections of Marie Stopes International’s services and its corporate headquarters in England, the regulator has raised concerns about the provider’s corporate and clinical governance arrangements […]
A stage two alert has been issued to support NHS providers in diagnosing, treating and managing acute kidney injury. Resources to support the care of patients with acute kidney injury This alert has been issued to raise awareness of acute kidney injury (AKI) and to signpost clinicans to a set of resources developed by Think Kidneys. These resources […]
A stage two alert has been issued to support providers of NHS-funded care to prevent the risk of severe harm or death caused by the misplacement of nasogastric tubes (NG tubes). Nasogastric tube misplacement: continuing risk of death and severe harm This alert highlights patient safety incidents involving the misplacement of nasogastric and orogastric tubes. […]
A stage two resource alert has been issued to support the timely identification, response and management of the deteriorating patient (adults and children). Resources to support safer care of the deteriorating patient (adults and children) Related content Patient safety alerts A safe system framework for recognising and responding to children at risk of deterioration Resources […]
A stage one warning has been issued around the risk of death and serious harm from failure to recognise acute coronary syndromes in Kawasaki disease patients. Death and serious harm from failure to recognise acute coronary syndromes in Kawasaki disease patients More patients affected by Kawasaki disease in early childhood are now entering adult life […]
A stage two resource alert has been issued around patient safety incident reporting and responding to patient safety alerts. Patient safety incident reporting and responding to patient safety alerts On 1 April 2016 the statutory patient safety functions previously delivered within NHS England transferred to NHS Improvement. These functions are the responsibility for: operating the […]
A stage one warning has been issued around the prioritisation of general practice home visits. Risk of death from failure to prioritise home visits in general practice When a request for a home visit is made, it is vital that general practices have a system in place to assess: whether a home visit is clinically necessary […]
A patient safety alert has been issued by NHS England around the prioritisation of general practice home visits. When a request for a home visit is made, it is vital that general practices have a system in place to assess: whether a home visit is clinically necessary; and the urgency of need for medical attention. […]