Summary
This article looks at the issue of oxygen hoses becoming disconnected from transport ventilators when patients are moved between hospitals, which led to a patient death. Following the incident, the National Patient Safety team worked with national partners involved in transfer of patients to ensure a ‘tug test’ is incorporated into local practice.
NHS England: Importance of ‘tug test’ for checking oxygen hose when transferring a patient to a portable ventilator
https://www.england.nhs.uk/patient-safety/using-patient-safety-events-data-to-keep-patients-safe/how-we-acted-on-patient-safety-issues-you-recorded/importance-of-tug-test-for-checking-oxygen-hose-when-transferring-a-patient-to-a-portable-ventilator/
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