Add this result to my export selection Allergens Issues - Food Safety in the NHS Source: NHS Improvement (Remove filter) Published by NHS Improvement, 29 January 2020 Recently there have been several incidents relating to allergens (AGs) in hospital food reported. Consistent themes are lack of info and/or communication on food AGs present in food and/or details of... Read Summary Type: Safety Alerts (Remove filter)
Add this result to my export selection Risk of death from unintended administration of sodium nitrite Source: NHS Improvement (Remove filter) Published by NHS Improvement, 06 August 2020 Sodium nitrite is an antidote to cyanide poisoning, and is categorised as a highly toxic product which should only be available in Emergency Departments. There have been reports of inadvertent... Read Summary SPS comment Type: Safety Alerts (Remove filter)
Add this result to my export selection Placement of nasogastric tubes (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 15 December 2020 This investigation report looks at nasogastric tubes and how previously identified safety improvements for the placement of these tubes are put into practice. Type: Safety Alerts (Remove filter)
Add this result to my export selection Design and safe use of portable oxygen systems (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 28 November 2018 NHS Improvement issued a patient safety alert on medical devices in January 2018. Type: Safety Alerts (Remove filter)
Add this result to my export selection Wrong patient details on blood sample (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 23 September 2019 Wrong blood in tube (WBIT) incidents can occur when blood samples are taken from patients and are either miscollected (blood is taken from the wrong patient but labelled with the correct patient... Type: Safety Alerts (Remove filter)
Add this result to my export selection Rapid Over Infusion of Parenteral Nutrition (PN)- update to Patient Safety Alert NHS/PSA/W/2017/005 issued Sept 2017 (PDF) Source: NHS Improvement (Remove filter) Published by NHS Improvement, 18 April 2019 Following death of premature baby due to failure to attach giving set to pump, resulting in PN bag running as free-flow and baby receiving 150 instead of 2ml per hour, alert has been updated to draw... Read Summary Type: Safety Alerts (Remove filter)
Add this result to my export selection Failures in communication or follow-up of unexpected significant radiological findings (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 17 July 2019 X-rays are the most common radiological examination. Type: Safety Alerts (Remove filter)
Add this result to my export selection Insertion of an incorrect intraocular lens (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 12 November 2018 Cataract removal and implantation of an artificial lens is the most common surgical procedure undertaken by the NHS. Type: Safety Alerts (Remove filter)
Add this result to my export selection Piped supply of medical air and oxygen (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 26 February 2019 This investigation focuses on the design and implementation of patient safety alerts. Type: Safety Alerts (Remove filter)
Add this result to my export selection Inadvertent administration of an oral liquid medicine into a vein (PDF) Source: Healthcare Safety Investigation Branch (Remove filter) 08 April 2019 This investigation emphasises that complex and fragmented medicine safety processes are putting patients across the country at risk. Type: Safety Alerts (Remove filter)