Through its core work to review recorded patient safety events, the National Patient Safety Team identified an issue of delayed treatment for potentially life-threatening bleeds because of the time taken to authorise and obtain prothrombin complex concentrate products (PCCs). PCC are human blood products recommended for use as first line treatment for major bleeding and reversal […]
Through its review of recorded patient safety events, the National Patient Safety Team identified an issue where a patient sadly died after no assessment of lifestyle factors was made during a remote consultation, before being prescribed combined hormonal contraception (CHC). When taking CHC there is a small risk of VTE. This risk is increased in […]
Through its review of recorded patient safety events, the National Patient Safety Team identified issues where the wrong joint was operated on due to inconsistencies in how finger digits were described and site marked. The team reviewed a Serious Incident report describing a patient where the wrong carpometacarpal joint was operated on because the terminology used […]
Essential clinical system capabilities – foundation capabilities Essential clinical system capabilities – non-foundation capabilities Patient facing capabilities National digital services GP IT enabling requirements Enhanced requirements General practice business requirements Essential clinical system capabilities – foundation capabilities Six clinical digital capabilities enabled through software (and data) solutions which under the GP Contract are necessary to […]
Thank you very much. And wow, George is a tough act to follow, isn’t he? A bona fide star of stage, screen, the written word, and, of course as we saw, the Strictly dancefloor. George, we’re so privileged to have you with us here today, and to hear your powerful message. Let’s all show again […]
This updated Operating Model continues to address six contemporary challenges. Challenge 1: Keeping general practice and patients safe Challenge 2: Supporting general practice deliver their contracted services Challenge 3: Enabling service improvement, transformation and digital innovation Challenge 4: Supporting new models of care and contracts Challenge 5: Supporting general practice meet patients’ digital expectations Challenge […]
Through its core work to review patients safety events recorded on national systems, such as the National Reporting and Learning System (NRLS), the new Learn from Patient Safety Events service (LFPSE), and other sources, the National Patient Safety Team identified issues where ventilators had been left in standby mode. The team reviewed a Serious Incident report describing a […]
Through its core work to review patients safety events recorded on national systems, such as the National Reporting and Learning System (NRLS), the new Learn from Patient Safety Events service (LFPSE), and other sources, the National Patient Safety Team identified cases where equipment had fallen onto critically ill patients during intrahospital transfers. A Serious Incident report described a […]
Through its core work to review patients safety events recorded on national systems, such as the National Reporting and Learning System (NRLS), the new Learn from Patient Safety Events service (LFPSE), and other sources, the National Patient Safety Team identified issues around the compatibility between defibrillators and associated defibrillator pads. In emergency situations, cardiac defibrillation devices allow […]
Through its core work to review patients safety events, recorded on national systems such as the National Reporting and Learning System (NRLS), the new Learn from Patient Safety Events service (LFPSE), and other sources, the National Patient Safety Team identified a patient safety issue where the antibiotic ceftazidime was infused over 24 hours. Ceftazidime is […]