A resource Patient Safety Alert has been issued to support safer provision of bowel care for patients at risk of autonomic dysreflexia. Patient Safety Alert – Resources to support safer bowel care for patients at risk of autonomic dysreflexia Patients with spinal cord injury or neurological conditions may have neurogenic bowel dysfunction, which often means […]
A resource alert has been issued to eliminate use of the imprecise term ‘soft diet’ and assist providers with safe transition to the International Dysphagia Diet Standardisation Initiative (IDDSI) framework, which introduces standard terminology to describe texture modification for food and drink. Resources to support safer modification of food and drink Food texture modification is […]
Dr Aidan Fowler is to join NHS Improvement as NHS National Director of Patient Safety in July 2018. Reflecting the system-wide nature of the role, Dr Fowler will also be appointed as a Deputy Chief Medical Officer by the Chief Medical Officer and Department of Health and Social Care. Dr Fowler brings a wealth of […]
A resource alert has been issued to support providers to adopt the revised National Early Warning Score (NEWS2) to detect deterioration in adult patients. Resource pack to support the early adoption of the National Early Warning Score (NEWS2) In partnership with NHS England, Health Education England and the Royal College of Physicians (RCP), we have […]
A warning alert has been issued on the risk of inadvertent intravenous administration of solid organ perfusion fluids. Patient Safety Alert – Risk of death or severe harm from inadvertent intravenous administration of solid organ perfusion fluids Perfusion fluids are mainly used during solid organ transplantation procedures to perfuse and preserve organs. If inadvertently intravenously […]
Most community pharmacies in England are now providing improved asthma and dementia care, NHS England figures show. Thousands of community pharmacists took up incentives to offer new patient services, such as providing asthma checks and undertaking training to become more dementia aware, as part of a programme to improve care. The uptake figures from NHS […]
From 5 March 2018 the hosting of StEIS, our system used to report and monitor the progress of Serious Incident investigations across the NHS, will transfer from Department of Health and Social Care (DHSC) IT systems to a new platform hosted by us. We outline what those changes mean to StEIS users. Contents When will […]
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 directive alert has been issued on the need to confirm intravenous (IV) lines and cannulae have been effectively flushed or removed at the end of the procedure. Patient Safety Alert – Confirming removal or flushing of lines and cannulae after procedures Patient Safety incidents are occurring from lapses in identifying and flushing all IV […]
A warning alert has been issued on the risk of harm and death from infusing total parenteral nutrition too rapidly in babies. Patient Safety Alert – Risk of severe harm and death from infusing total parenteral nutrition too rapidly in babies Total parenteral nutrition (TPN, also known as PN) is a method of providing nutrition […]