National Patient Safety Agency (NPSA)

Patient safety topics

Organisation patient safety incident reports for NHS Eastern and Coastal Kent

Emerging issues from national review of serious patient safety incidents

• Patient safety topics

• Organisation patient safety incident reports for NHS Eastern and Coastal Kent

• Emerging issues from national review of serious patient safety incidents
  

National Reporting and Learning Service (NRLS) publications

The National Reporting and Learning Service (NRLS) is responsible for developing and producing a range of important information for the NHS designed to improve patient safety in all care settings. This can be in partnership with other healthcare agencies, with Royal Colleges or with NHS trusts and organisations. The latest publications are listed below.

2011

• The adult patient’s passport to safer use of insulin issued 30 March

• Reducing the harm caused by misplaced nasogastric feeding tubes in adults, children and infants issued 10 March

• Safer spinal (intrathecal), epidural and regional devices issued 31 January

• Essential care after an inpatient fall issued 13 January

2010

• Safer ambulatory syringe drivers (16 December) 

• Laparoscopic surgery: Failure to recognise post-operative deterioration
  (23 September) 

• Prevention of over infusion of intravenous fluid* and medicines in neonates
  (26 August)  

• Reducing treatment dose errors with low molecular weight heparins (30 July)

• Safer administration of insulin (16 June)

• Reducing the risk of retained swabs after vaginal birth and perineal suturing (26 May)

• Checking pregnancy before surgery (28 April) 

• Early detection of complications after gastrostomy (31 March)

• Reducing harm from omitted and delayed medicines in hospital (24 February)

• Reducing the risks of tourniquets left on after finger and toe surgery
  (9 December)

• Safer lithium therapy (1 December)

• Safer spinal (intrathecal), epidural and regional devices (24 November)

• Being open: communicating patient safety incidents with patients, their families and carers (19 November 2009)

• Oxygen safety in hospitals | Rapid Response Report (29 September)

• Risk to patient safety of not using the NHS Number as the national identifier for all patients (September 2009)

• NPSA | Minimising risks of suprapubic catheter insertion (July 2009)

• Mitigating risks when using bone cement in hip surgery (March 2009)

• Reducing risk of harm from oral bowel cleansing solutions (February 2009)

• WHO Surgical Safety Checklist (January 2009)

• Clean Hands Save Lives (September 2008).