Patient safety

Managing risks during the transition period to new ISO connectors for medical devices

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 […]

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General practice patient safety reporting form launched

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 […]

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Risk of severe harm and death from unintentional interruption of non-invasive ventilation

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. […]

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Patient safety alert – Risk of severe harm and death from unintentional interruption of non-invasive ventilation

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 […]

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Harm from using Low Molecular Weight Heparins when contraindicated

A stage one warning has been issued 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. Harm from using Low Molecular Weight Heparins when contraindicated Low Molecular Weight Heparins (LMWHs) are frequently used […]

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Patient safety alert – Risk of death or serious harm from accidental ingestion of potassium permanganate preparations

A patient safety alert has been issued by NHS England to raise awareness of the risk of death or serious harm from accidental ingestion of potassium permanganate preparations that are for external use. Potassium permanganate is used in topical preparations for the care of wounds because of its antiseptic and antimicrobial properties. It is available […]

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Risk of death or serious harm from accidental ingestion of potassium permanganate preparations

A stage one warning has been issued to raise awareness of the risk of death or serious harm from accidental ingestion of potassium permanganate preparations that are for external use. Risk of death or serious harm from accidental ingestion of potassium permanganate preparations Potassium permanganate is used in topical preparations for the care of wounds […]

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