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Articles in this category

1. RCEM Safety Flash: Water beads & bowel obstruction (23 December 2024)

   • Children and Young People
   • Emergency medicine
   • (and 1 more)

     Tagged with:

     • Children and Young People
     • Emergency medicine
     • Alert

   By Patient Safety Learning, 23 December, 2024

   • 0 comments
   • 603 views
   • 
   • Added by Patient Safety Learning
   • 23 December, 2024

2. National Patient Safety Alert: Risk of oxytocin overdose during labour and childbirth (24 September 2024)

   • Anaesthesia
   • Pharmacy / chemist
   • (and 7 more)

     Tagged with:

     • Anaesthesia
     • Pharmacy / chemist
     • Operating theatre / recovery
     • Maternity
     • Alert
     • Baby
     • Patient harmed
     • Medication
     • Patient safety incident

   By Patient Safety Learning, 24 September, 2024

   • 0 comments
   • 1,281 views
   • 
   • Added by Patient Safety Learning
   • 24 September, 2024

3. Patient Safety Alert: Risk of severe harm and death from infusing total parenteral nutrition too rapidly in babies (27 September 2017)

   • Patient safety incident
   • Baby
   • (and 4 more)

     Tagged with:

     • Patient safety incident
     • Baby
     • Nutrition
     • Food
     • Patient harmed
     • Alert

   By Patient Safety Learning, 13 June, 2024

   • 0 comments
   • 387 views
   • 
   • Added by Patient Safety Learning
   • 13 June, 2024

4. National Patient Safety Alert: Shortage of salbutamol 2.5mg/2.5ml and 5mg/2.5ml nebuliser liquid unit dose vials (26 February 2024)

   • Medication
   • Lack of resources
   • (and 3 more)

     Tagged with:

     • Medication
     • Lack of resources
     • Asthma
     • Prescribing
     • Alert

   By Patient Safety Learning, 29 February, 2024

   • 0 comments
   • 1,105 views
   • 
   • Added by Patient Safety Learning
   • 29 February, 2024

5. National Patient Safety Alert: Transition to NRFit™ connectors for intrathecal and epidural procedures, and delivery of regional blocks (31 January 2024)

   • Medical device
   • Anaesthesia
   • (and 1 more)

     Tagged with:

     • Medical device
     • Anaesthesia
     • Alert

   By Patient Safety Learning, 31 January, 2024

   • 0 comments
   • 631 views
   • 
   • Added by Patient Safety Learning
   • 31 January, 2024

6. National Patient Safety Alert: Shortage of GLP-1 receptor agonists (GLP-1 RA) update (3 January 2024)

   • Diabetes
   • Medication
   • (and 4 more)

     Tagged with:

     • Diabetes
     • Medication
     • Lack of resources
     • Pharmacist
     • Organisation / service factors
     • Alert

   By Patient Safety Learning, 25 January, 2024

   • 0 comments
   • 1,044 views
   • 
   • Added by Patient Safety Learning
   • 25 January, 2024

7. National Patient Safety Alert: Identified safety risks with the Euroking maternity information system (7 December 2023)

   • Maternity
   • Care record
   • (and 3 more)

     Tagged with:

     • Maternity
     • Care record
     • Data
     • Pregnancy
     • Alert

   By Patient Safety Learning, 7 December, 2023

   • 0 comments
   • 1,409 views
   • 
   • Added by Patient Safety Learning
   • 7 December, 2023

8. National Patient Safety Alert. Valproate: organisations to prepare for new regulatory measures for oversight of prescribing to new patients and existing female patients

   • Medication
   • Pregnancy
   • (and 5 more)

     Tagged with:

     • Medication
     • Pregnancy
     • Prescribing
     • Baby
     • Patient harmed
     • Regulatory issue
     • Alert

   By Patient Safety Learning, 30 November, 2023

   • 0 comments
   • 584 views
   • 
   • Added by Patient Safety Learning
   • 30 November, 2023

9. National Patient Safety Alert: Shortage of methylphenidate prolonged-release capsules and tablets, lisdexamfetamine capsules, and guanfacine prolonged-release tablets (27 September 2023)

   • Medication
   • ADHD
   • (and 5 more)

     Tagged with:

     • Medication
     • ADHD
     • Prescribing
     • Pharmacy / chemist
     • GP
     • Mental health
     • Alert

   By Patient Safety Learning, 29 September, 2023

   • 0 comments
   • 709 views
   • 
   • Added by Patient Safety Learning
   • 29 September, 2023

10. National Patient Safety Alert: Medical beds, trolleys, bed rails, bed grab handles and lateral turning devices: risk of death from entrapment or falls (30 August 2023)

    • Medical device / equipment
    • Falls
    • (and 4 more)

      Tagged with:

      • Medical device / equipment
      • Falls
      • Hospital ward
      • Care home
      • AHP Allied health professionals (AHP)
      • Alert

    By Patient-Safety-Learning, 4 September, 2023

    • 0 comments
    • 1,490 views
    • 
    • Added by Patient-Safety-Learning
    • 4 September, 2023

11. National Patient Safety Alert: Class 1 medicines recall notification - Recall of Emerade 500 micrograms and Emerade 300 micrograms auto-injectors, due to the potential for device failure

    • Allergies
    • Medical device
    • (and 3 more)

      Tagged with:

      • Allergies
      • Medical device
      • Anaphylaxis
      • Medication
      • Alert

    By Patient-Safety-Learning, 16 May, 2023

    • 0 comments
    • 539 views
    • 
    • Added by Patient-Safety-Learning
    • 16 May, 2023

12. MHRA safety alert – EyeCee One preloaded and EyeCee One Crystal preloaded intraocular lenses (IOLs): stop using immediately and quarantine all preloaded EyeCee One lenses (26 January 2023)

    • Medicine - Ophthalmology
    • Patient harmed
    • (and 3 more)

      Tagged with:

      • Medicine - Ophthalmology
      • Patient harmed
      • Medical device
      • Investigation
      • Alert

    By Patient Safety Learning, 7 February, 2023

    • 0 comments
    • 976 views
    • 
    • Added by Patient Safety Learning
    • 7 February, 2023

13. National Patient Safety Alert: Use of oxygen cylinders where patients do not have access to medical gas pipeline systems

    • Physiotherapist
    • Oxygen / gas / vapour
    • (and 3 more)

      Tagged with:

      • Physiotherapist
      • Oxygen / gas / vapour
      • Medicine - Respiratory
      • Safety process
      • Alert

    By Patient_Safety_Learning, 10 January, 2023

    • 0 comments
    • 1,641 views
    • 
    • Added by Patient_Safety_Learning
    • 10 January, 2023

14. National Patient Safety Alert: Class 4 medicines defect information: Prenoxad 1mg/ml solution for injection, Macarthys Laboratories (Aurum Pharmaceuticals Ltd), due to potential missing needles in sealed kits, NatPSA/2022/009/MHRA (10 November 2022)

    • Medication
    • UK
    • (and 1 more)

      Tagged with:

      • Medication
      • UK
      • Alert

    By Patient-Safety-Learning, 10 November, 2022

    • 0 comments
    • 620 views
    • 
    • Added by Patient-Safety-Learning
    • 10 November, 2022

15. National Patient Safety Alert. NovoRapid PumpCart in the Roche Accu-Chek Insight insulin pump: risk of insulin leakage causing hyperglycaemia and diabetic ketoacidosis (26 May 2022)

    • Medical device
    • Medical device / equipment
    • (and 3 more)

      Tagged with:

      • Medical device
      • Medical device / equipment
      • Diabetes
      • Patient harmed
      • Alert

    By Patient Safety Learning, 26 May, 2022

    • 0 comments
    • 1,001 views
    • 
    • Added by Patient Safety Learning
    • 26 May, 2022

16. National Patient Safety Alert: Philips Health SystemsV60, V60 Plus and V680 ventilators – potential unexpected shutdown leading to complete loss of ventilation

    • Ventilators
    • Medical device / equipment
    • (and 2 more)

      Tagged with:

      • Ventilators
      • Medical device / equipment
      • Regulatory issue
      • Alert

    By Patient Safety Learning, 11 April, 2022

    • 0 comments
    • 848 views
    • 
    • Added by Patient Safety Learning
    • 11 April, 2022

17. National Patient Safety Alert: Inadvertent oral administration of potassium permanganate

    • Adminstering medication
    • Medication
    • (and 3 more)

      Tagged with:

      • Adminstering medication
      • Medication
      • Prescribing
      • Medicine - Dermatology
      • Alert

    By Patient-Safety-Learning, 5 April, 2022

    • 0 comments
    • 1,518 views
    • 
    • Added by Patient-Safety-Learning
    • 5 April, 2022

18. National Patient Safety Alert: Eliminating the risk of inadvertent connection to medical air via a flowmeter (16 June 2021)

    • Never event
    • Medical device
    • (and 2 more)

      Tagged with:

      • Never event
      • Medical device
      • Oxygen / gas / vapour
      • Alert

    By Patient Safety Learning, 7 March, 2022

    • 0 comments
    • 589 views
    • 
    • Added by Patient Safety Learning
    • 7 March, 2022

19. National Patient Safety Alert: Infection risk when using FFP3 respirators with valves or Powered Air Purifying Respirators (PAPRs) during surgical and invasive procedures

    • Surgery - General
    • PPE (personal Protective Equipment)
    • (and 3 more)

      Tagged with:

      • Surgery - General
      • PPE (personal Protective Equipment)
      • Infection control
      • Staff safety
      • Alert

    By Patient Safety Learning, 15 September, 2021

    • 0 comments
    • 1,338 views
    • 
    • Added by Patient Safety Learning
    • 15 September, 2021

20. National Patient Safety Alert: Elimination of bottles of liquefied phenol 80% (25 August 2021)

    • Patient safety incident
    • Surgery - Trauma and orthopaedic
    • (and 4 more)

      Tagged with:

      • Patient safety incident
      • Surgery - Trauma and orthopaedic
      • Prescribing
      • Patient harmed
      • Health hazards
      • Alert

    By Patient Safety Learning, 26 August, 2021

    • 0 comments
    • 1,561 views
    • 
    • Added by Patient Safety Learning
    • 26 August, 2021

21. National Patient Safety Alert: Blood control safety cannula & needle thoracostomy for tension pneumothorax (2 April 2020)

    • Medical device
    • Patient safety incident
    • (and 3 more)

      Tagged with:

      • Medical device
      • Patient safety incident
      • Emergency medicine
      • Blood / blood products
      • Alert

    By Patient Safety Learning, 7 June, 2021

    • 0 comments
    • 597 views
    • 
    • Added by Patient Safety Learning
    • 7 June, 2021

22. National Patient Safety Alert: Urgent assessment/treatment following ingestion of ‘super strong’ magnets (19 May 2021)

    • Children and Young People
    • Patient safety incident
    • (and 3 more)

      Tagged with:

      • Children and Young People
      • Patient safety incident
      • Safety report
      • Patient accident
      • Alert

    By Patient Safety Learning, 21 May, 2021

    • 0 comments
    • 1,074 views
    • 
    • Added by Patient Safety Learning
    • 21 May, 2021

23. National patient safety alert: Early recognition and treatment of adrenal crisis (25 March 2021)

    • Prescribing
    • Treatment
    • (and 5 more)

      Tagged with:

      • Prescribing
      • Treatment
      • Pharmacist
      • GP
      • Patient
      • Safety process
      • Alert

    By Patient Safety Learning, 31 March, 2021

    • 0 comments
    • 1,329 views
    • 
    • Added by Patient Safety Learning
    • 31 March, 2021

24. National Patient Safety Alert: Philips Respironics V60 ventilator - unexpected shutdown (23 September 2020)

    • Ventilators
    • Medical device / equipment
    • (and 2 more)

      Tagged with:

      • Ventilators
      • Medical device / equipment
      • ICU/ ITU/ HDU
      • Alert

    By Patient Safety Learning, 24 September, 2020

    • 0 comments
    • 1,301 views
    • 
    • Added by Patient Safety Learning
    • 24 September, 2020

25. National Patient Safety Alert: Foreign body aspiration during intubation, advanced airway management or ventilation (1 September 2020)

    • Medicine - Respiratory
    • Patient safety incident
    • (and 3 more)

      Tagged with:

      • Medicine - Respiratory
      • Patient safety incident
      • Medical device / equipment
      • Anaesthetist
      • Alert

    By Patient Safety Learning, 8 September, 2020

    • 0 comments
    • 1,166 views
    • 
    • Added by Patient Safety Learning
    • 8 September, 2020