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Articles in this category

1. National patient safety alert – risk associated with adult breathing circuits lacking a patent exhalation route

   • ICU/ ITU/ HDU
   • Medicine - Respiratory
   • (and 1 more)

     Tagged with:

     • ICU/ ITU/ HDU
     • Medicine - Respiratory
     • Medical device

   By Mark Hughes, 12 December, 2025

   • 0 comments
   • 2,096 views
   • 
   • Added by Mark Hughes
   • 12 December, 2025

2. National patient safety alert - harm from incorrect recording of a penicillin allergy as a penicillamine allergy

   • Medication
   • Electronic Health Record
   • (and 2 more)

     Tagged with:

     • Medication
     • Electronic Health Record
     • Prescribing
     • Medicine - Allergy

   By Mark Hughes, 21 November, 2025

   • 0 comments
   • 1,201 views
   • 
   • Added by Mark Hughes
   • 21 November, 2025

3. National patient safety alert – harm from delayed administration of rasburicase for tumour lysis syndrome ​​(9 September 2025)

   • Cancer
   • Emergency medicine
   • (and 6 more)

     Tagged with:

     • Cancer
     • Emergency medicine
     • Medication
     • Alert
     • Risk assessment
     • Patient harmed
     • Medicine - Haematology
     • Medicine - Oncology

   By Patient Safety Learning, 9 September, 2025

   • 0 comments
   • 1,247 views
   • 
   • Added by Patient Safety Learning
   • 9 September, 2025

4. Aurum pre-filled syringes phased introduction of new 10ml CONNECT syringe barrel: Importance of selecting compatible needle-free connectors to minimise the risk of syringe blockage

   • Medical device
   • Medication
   • (and 1 more)

     Tagged with:

     • Medical device
     • Medication
     • Alert

   By Patient Safety Learning, 8 September, 2025

   • 0 comments
   • 217 views
   • 
   • Added by Patient Safety Learning
   • 8 September, 2025

5. Class 2 Medicines Recall: Lercanidipine HCl 20mg Tablets (17 April 2025)

   • Alert
   • Medication
   • (and 1 more)

     Tagged with:

     • Alert
     • Medication
     • Labelling / packaging/ signage

   By Patient Safety Learning, 22 April, 2025

   • 0 comments
   • 631 views
   • 
   • Added by Patient Safety Learning
   • 22 April, 2025

6. 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
   • 1,763 views
   • 
   • Added by Patient Safety Learning
   • 23 December, 2024

7. 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
   • 2,165 views
   • 
   • Added by Patient Safety Learning
   • 24 September, 2024

8. 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 5 more)

     Tagged with:

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

   By Patient Safety Learning, 13 June, 2024

   • 0 comments
   • 1,013 views
   • 
   • Added by Patient Safety Learning
   • 13 June, 2024

9. 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
   • 1,985 views
   • 
   • Added by Patient Safety Learning
   • 29 February, 2024

10. 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
    • 1,063 views
    • 
    • Added by Patient Safety Learning
    • 31 January, 2024

11. 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
    • 2,064 views
    • 
    • Added by Patient Safety Learning
    • 25 January, 2024

12. 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
    • 1,920 views
    • 
    • Added by Patient Safety Learning
    • 7 December, 2023

13. 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
    • 923 views
    • 
    • Added by Patient Safety Learning
    • 30 November, 2023

14. 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
    • 1,228 views
    • 
    • Added by Patient Safety Learning
    • 29 September, 2023

15. 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
    • 2,423 views
    • 
    • Added by Patient-Safety-Learning
    • 4 September, 2023

16. 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
    • 1,119 views
    • 
    • Added by Patient-Safety-Learning
    • 16 May, 2023

17. 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
    • 1,270 views
    • 
    • Added by Patient Safety Learning
    • 7 February, 2023

18. 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
    • 2,430 views
    • 
    • Added by Patient_Safety_Learning
    • 10 January, 2023

19. 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
    • 942 views
    • 
    • Added by Patient-Safety-Learning
    • 10 November, 2022

20. 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
    • 1,338 views
    • 
    • Added by Patient Safety Learning
    • 26 May, 2022

21. 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
    • 1,154 views
    • 
    • Added by Patient Safety Learning
    • 11 April, 2022

22. 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
    • 2,957 views
    • 
    • Added by Patient-Safety-Learning
    • 5 April, 2022

23. 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
    • 1,252 views
    • 
    • Added by Patient Safety Learning
    • 7 March, 2022

24. 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
    • 1,692 views
    • 
    • Added by Patient Safety Learning
    • 15 September, 2021

25. 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
    • 1,807 views
    • 
    • Added by Patient Safety Learning
    • 26 August, 2021