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 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 […]
NHS England responds to Independent Review Twelve NHS hospital trusts have been selected to trail blaze new ways of using digital technology to drive radical improvements in the care of patients. Known as “digital exemplars”, they will each receive up to £10 million from NHS England in a bid to inspire a digital revolution across […]
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 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 […]
Since the publication of this blog Dr Mike Durkin has left NHS England. One year ago today, Professor Don Berwick published A promise to learn – a commitment to act, his report on the safety of patients in England. We have since made a lot of progress in responding to his findings and this anniversary […]
A stage one warning has been issued on the risk of inadvertently cutting in-line (closed) suction catheters. The alert has been issued to all NHS hospitals and community services in England that use in-line or closed suction systems as part of patient care. Risk of inadvertently cutting in-line (closed) suction catheters This follows a recent […]
A patient safety alert has been issued today (9 June 2014) by NHS England on standardising the early identification of Acute Kidney Injury (AKI). The alert has been issued to all NHS acute trusts and foundation trusts providing pathology services. A national algorithm, standardising the definition of AKI has now been agreed. This provides the […]
A patient safety alert has been issued today (14 April 2014) by NHS England on residual anaesthetic drugs in cannulae and intravenous lines leading to cardiac or respiratory arrest. The alert has been issued to all NHS services hospitals and community services in England that undertake surgery or other investigations and procedures using anaesthesia. Since […]
A patient safety alert has been issued today (14 April 2014) by NHS England on residual anaesthetic drugs in cannulae and intravenous lines leading to cardiac or respiratory arrest. Patient safety alert: full residual anaesthetic drugs in cannulae and intravenous lines The alert has been issued to all NHS services hospitals and community services in […]