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NHS England: Ensuring oxygen delivery when using two step humification systems

Summary

This article looks at a safety issue around the initiation of humidified oxygen treatment. It examines an incident which resulted in a patient's death when they did not receive oxygen.

NHS England: Ensuring oxygen delivery when using two step humification systems https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/how…

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