Community nursing and therapy service Patient safety resourcesView all resources for staff working in the community nursing and therapy serviceHarm from flushing of nasogastric tubes before confirmation of placement22/03/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=133441Tue, 20 Mar 2012 18:19:57 GMT20120320061957Tue, 20 Mar 2012 18:19:57 GMT20120320061957Fri, 08 Jun 2012 12:18:22 GMT20120608121822NRLS Quarterly Data Workbook up to September 201120/03/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=133438Tue, 20 Mar 2012 11:40:26 GMT20120320114026Tue, 20 Mar 2012 11:40:26 GMT20120320114026Thu, 22 Mar 2012 10:32:49 GMT20120322103249Risk of skin-prep related fire in operating theatres Signal28/02/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132981Fri, 02 Mar 2012 13:09:49 GMT20120302010949Fri, 02 Mar 2012 13:09:49 GMT20120302010949Fri, 02 Mar 2012 13:47:14 GMT20120302014714Risk of harm following gastric bypass Signal28/02/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132979Fri, 02 Mar 2012 12:45:45 GMT20120302124545Fri, 02 Mar 2012 12:45:45 GMT20120302124545Fri, 02 Mar 2012 13:48:57 GMT20120302014857Recognising and instigating prompt treatment for necrotising fasciitis Signal28/02/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132976Thu, 16 Feb 2012 11:01:53 GMT20120216110153Thu, 16 Feb 2012 11:01:53 GMT20120216110153Fri, 02 Mar 2012 12:16:15 GMT20120302121615Prevention of Harm with Buccal Midazolam Signal28/02/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132975Thu, 16 Feb 2012 10:53:07 GMT20120216105307Thu, 16 Feb 2012 10:53:07 GMT20120216105307Fri, 02 Mar 2012 12:20:54 GMT20120302122054Patient safety issues related to gastrostomy Signal28/02/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132974Thu, 16 Feb 2012 10:42:25 GMT20120216104225Thu, 16 Feb 2012 10:42:25 GMT20120216104225Wed, 18 Apr 2012 09:38:20 GMT20120418093820Diagnosis of death after cessation of cardiopulmonary resuscitation Signal28/02/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132973Thu, 16 Feb 2012 10:32:25 GMT20120216103225Thu, 16 Feb 2012 10:32:25 GMT20120216103225Fri, 09 Mar 2012 15:39:45 GMT20120309033945Risk of harm from CPM syndrome following rapid correction of sodium Signal28/02/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132971Thu, 16 Feb 2012 10:02:23 GMT20120216100223Thu, 16 Feb 2012 10:02:23 GMT20120216100223Fri, 30 Mar 2012 14:09:43 GMT20120330020943Keeping newborn babies with a family history of MCADD safe in the first hours and days of life26/10/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132858Wed, 26 Oct 2011 10:30:46 GMT20111026103046Wed, 26 Oct 2011 10:30:46 GMT20111026103046Fri, 08 Jun 2012 12:21:24 GMT20120608122124The adult patients passport to safer use of insulin30/03/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=130397Mon, 28 Mar 2011 15:38:28 GMT20110328033828Mon, 28 Mar 2011 15:38:28 GMT20110328033828Fri, 08 Jun 2012 12:23:55 GMT20120608122355Monitoring patients with fractured ribs Signal25/03/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=130182Thu, 24 Mar 2011 12:08:41 GMT20110324120841Thu, 24 Mar 2011 12:08:41 GMT20110324120841Fri, 25 Mar 2011 11:13:45 GMT20110325111345Early detection and treatment of acute limb ischaemia Signal25/03/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=130172Thu, 24 Mar 2011 10:53:28 GMT20110324105328Thu, 24 Mar 2011 10:53:28 GMT20110324105328Fri, 25 Mar 2011 11:16:17 GMT20110325111617The safe use of ultra low beds Signal14/02/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=94850Mon, 07 Feb 2011 17:27:56 GMT20110207052756Mon, 07 Feb 2011 17:27:56 GMT20110207052756Mon, 14 Feb 2011 17:03:01 GMT20110214050301Risk of harm from compression bandages Signal14/02/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=94849Mon, 07 Feb 2011 17:25:51 GMT20110207052551Mon, 07 Feb 2011 17:25:51 GMT20110207052551Mon, 14 Feb 2011 13:31:46 GMT20110214013146Haemorrhages from arteriovenous fistula Signal14/02/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=94847Mon, 07 Feb 2011 17:20:38 GMT20110207052038Mon, 07 Feb 2011 17:20:38 GMT20110207052038Mon, 14 Feb 2011 13:36:23 GMT20110214013623Airway suction equipment Signal14/02/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=94845Mon, 07 Feb 2011 17:14:24 GMT20110207051424Mon, 07 Feb 2011 17:14:24 GMT20110207051424Mon, 14 Feb 2011 13:33:40 GMT20110214013340Safer ambulatory syringe drivers16/12/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=92908Mon, 13 Dec 2010 11:56:24 GMT20101213115624Mon, 13 Dec 2010 11:56:24 GMT20101213115624Fri, 04 Feb 2011 09:16:52 GMT20110204091652Delay in diagnosis and treatment of spinal cord compression Signal29/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83770Tue, 26 Oct 2010 10:08:34 GMT20101026100834Tue, 26 Oct 2010 10:08:34 GMT20101026100834Thu, 28 Oct 2010 11:23:01 GMT20101028112301Anticoagulated patients and head injury Signal29/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83760Mon, 25 Oct 2010 16:09:44 GMT20101025040944Mon, 25 Oct 2010 16:09:44 GMT20101025040944Thu, 28 Oct 2010 11:21:18 GMT20101028112118Accurate patient weight Signal29/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83756Mon, 25 Oct 2010 14:08:07 GMT20101025020807Mon, 25 Oct 2010 14:08:07 GMT20101025020807Mon, 18 Apr 2011 16:29:21 GMT20110418042921Patient Environment Action Team (PEAT) results 2010: additional data14/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83544Tue, 12 Oct 2010 10:23:09 GMT20101012102309Tue, 12 Oct 2010 10:23:09 GMT20101012102309Tue, 12 Oct 2010 10:50:00 GMT20101012105000Never Events Annual Report 2009/1008/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83319Wed, 06 Oct 2010 11:42:55 GMT20101006114255Wed, 06 Oct 2010 11:42:55 GMT20101006114255Fri, 08 Oct 2010 16:43:08 GMT20101008044308Reducing treatment dose errors with low molecular weight heparins30/07/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=75208Fri, 30 Jul 2010 10:17:55 GMT20100730101755Fri, 30 Jul 2010 10:17:55 GMT20100730101755Mon, 11 Oct 2010 12:04:50 GMT20101011120450Design for patient safety: user testing in the development of medical devices01/03/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=74946Fri, 09 Jul 2010 11:47:36 GMT20100709114736Fri, 09 Jul 2010 11:47:36 GMT20100709114736Tue, 13 Jul 2010 15:26:33 GMT20100713032633High Hazards- summary and full report01/03/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=74930Thu, 08 Jul 2010 12:03:16 GMT20100708120316Thu, 08 Jul 2010 12:03:16 GMT20100708120316Fri, 09 Jul 2010 13:47:12 GMT20100709014712Pembury: summary report01/03/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=74918Wed, 07 Jul 2010 16:33:58 GMT20100707043358Wed, 07 Jul 2010 16:33:58 GMT20100707043358Mon, 12 Jul 2010 09:22:03 GMT20100712092203Safer administration of insulin16/06/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=74287Thu, 10 Jun 2010 09:03:05 GMT20100610090305Thu, 10 Jun 2010 09:03:05 GMT20100610090305Mon, 05 Jul 2010 12:32:53 GMT20100705123253Early detection of complications after gastrostomy31/03/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=73457Mon, 29 Mar 2010 11:12:44 GMT20100329111244Mon, 29 Mar 2010 11:12:44 GMT20100329111244Fri, 20 Apr 2012 14:46:56 GMT20120420024656Never Events - Framework: Update for 2010-1124/03/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=68518Wed, 24 Mar 2010 10:42:27 GMT20100324104227Wed, 24 Mar 2010 10:42:27 GMT20100324104227Mon, 17 May 2010 09:45:37 GMT20100517094537Analysing Significant Event Audits in general practice02/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65673Mon, 21 Dec 2009 10:44:59 GMT20091221104459Mon, 21 Dec 2009 10:44:59 GMT20091221104459Fri, 28 May 2010 16:20:22 GMT20100528042022Pain relief in terminal care in the community Signal27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65332Fri, 27 Nov 2009 09:43:22 GMT20091127094322Fri, 27 Nov 2009 09:43:22 GMT20091127094322Tue, 01 Jun 2010 09:54:50 GMT20100601095450Pressure ulcers under plaster casts Signal27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65330Fri, 27 Nov 2009 09:18:58 GMT20091127091858Fri, 27 Nov 2009 09:18:58 GMT20091127091858Tue, 09 Mar 2010 13:09:05 GMT20100309010905Actions that can make anticoagulant therapy safer: Work competences01/03/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61790Thu, 10 Sep 2009 13:05:41 GMT20090910010541Thu, 10 Sep 2009 13:05:41 GMT20090910010541Mon, 05 Jul 2010 12:30:22 GMT20100705123022Actions that can make oral anticoagulant therapy safer: Information for patients and carers28/03/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61777Thu, 10 Sep 2009 12:17:01 GMT20090910121701Thu, 10 Sep 2009 12:17:01 GMT20090910121701Mon, 05 Jul 2010 12:08:29 GMT20100705120829Safety in doses03/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61625Thu, 03 Sep 2009 12:28:05 GMT20090903122805Thu, 03 Sep 2009 12:28:05 GMT20090903122805Tue, 01 Jun 2010 09:59:25 GMT20100601095925Risk of omitting Hib when administering Infanrix-IPBHib12/10/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59968Thu, 20 Aug 2009 16:57:29 GMT20090820045729Thu, 20 Aug 2009 16:57:29 GMT20090820045729Fri, 04 Sep 2009 12:40:46 GMT20090904124046Safe Foundations21/08/2006http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59899Tue, 18 Aug 2009 21:11:10 GMT20090818091110Tue, 18 Aug 2009 21:11:10 GMT20090818091110Thu, 17 Sep 2009 19:59:44 GMT20090917075944Haemodialysis patients: risks associated with water supply (hydrogen peroxide)30/09/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59893Tue, 18 Aug 2009 21:11:02 GMT20090818091102Tue, 18 Aug 2009 21:11:02 GMT20090818091102Fri, 04 Sep 2009 14:23:34 GMT20090904022334Reducing dosing errors with opioid medicines04/07/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59888Tue, 18 Aug 2009 21:10:52 GMT20090818091052Tue, 18 Aug 2009 21:10:52 GMT20090818091052Fri, 28 May 2010 16:28:45 GMT20100528042845Questions are the answer! Seven questions every board member should ask about patient safety01/06/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59885Tue, 18 Aug 2009 21:10:45 GMT20090818091045Tue, 18 Aug 2009 21:10:45 GMT20090818091045Fri, 04 Sep 2009 11:48:48 GMT20090904114848Oral anti-cancer medicines: risks of incorrect dosing22/01/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59880Tue, 18 Aug 2009 21:10:36 GMT20090818091036Tue, 18 Aug 2009 21:10:36 GMT20090818091036Fri, 28 May 2010 16:25:30 GMT20100528042530Fire hazard with paraffin-based skin products26/11/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59876Tue, 18 Aug 2009 21:10:27 GMT20090818091027Tue, 18 Aug 2009 21:10:27 GMT20090818091027Thu, 10 Sep 2009 14:28:48 GMT20090910022848Quarterly Data Summary Issue 12: Learning from reporting - is nutrition a patient safety problem?01/05/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59872Tue, 18 Aug 2009 21:10:23 GMT20090818091023Tue, 18 Aug 2009 21:10:23 GMT20090818091023Fri, 04 Sep 2009 10:48:23 GMT20090904104823Review of patient safety for children and young people01/06/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59864Tue, 18 Aug 2009 21:10:10 GMT20090818091010Tue, 18 Aug 2009 21:10:10 GMT20090818091010Tue, 02 Feb 2010 15:15:09 GMT20100202031509Quarterly Data Summary Issue 11: Learning from reporting - pressure ulcers01/02/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59862Tue, 18 Aug 2009 21:10:07 GMT20090818091007Tue, 18 Aug 2009 21:10:07 GMT20090818091007Fri, 04 Sep 2009 10:32:47 GMT20090904103247Quarterly Data Summary Issue 10: Learning from reporting - vaccination incidents involving children01/11/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59857Tue, 18 Aug 2009 21:09:56 GMT20090818090956Tue, 18 Aug 2009 21:09:56 GMT20090818090956Fri, 04 Sep 2009 10:23:51 GMT20090904102351Foresight training01/03/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59840Tue, 18 Aug 2009 21:09:22 GMT20090818090922Tue, 18 Aug 2009 21:09:22 GMT20090818090922Mon, 21 Sep 2009 18:27:06 GMT20090921062706Quarterly Data Summary Issue 7: Learning from reporting - medication incidents in primary care01/02/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59839Tue, 18 Aug 2009 21:09:21 GMT20090818090921Tue, 18 Aug 2009 21:09:21 GMT20090818090921Fri, 04 Sep 2009 11:05:31 GMT20090904110531Safer care for the acutely ill patient: learning from serious incident01/01/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59828Tue, 18 Aug 2009 21:09:01 GMT20090818090901Tue, 18 Aug 2009 21:09:01 GMT20090818090901Fri, 04 Sep 2009 14:50:47 GMT20090904025047Ensuring safer practice for adults with learning disabilities who have dysphagia01/07/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59823Tue, 18 Aug 2009 21:08:44 GMT20090818090844Tue, 18 Aug 2009 21:08:44 GMT20090818090844Thu, 08 Oct 2009 17:04:36 GMT20091008050436Patient Safety Observatory Report 4: Safety in doses01/01/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59822Tue, 18 Aug 2009 21:08:41 GMT20090818090841Tue, 18 Aug 2009 21:08:41 GMT20090818090841Tue, 02 Feb 2010 15:19:55 GMT20100202031955Actions that can make anticoagulant therapy safer: Alert and other information28/03/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59814Tue, 18 Aug 2009 21:08:15 GMT20090818090815Tue, 18 Aug 2009 21:08:15 GMT20090818090815Wed, 08 Jun 2011 09:34:18 GMT20110608093418Promoting safer use of injectable medicines28/03/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59812Tue, 18 Aug 2009 21:08:09 GMT20090818090809Tue, 18 Aug 2009 21:08:09 GMT20090818090809Tue, 15 Sep 2009 16:13:27 GMT20090915041327Promoting safer measurement and administration of liquid medicines via oral and other enteral routes28/03/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59808Tue, 18 Aug 2009 21:07:52 GMT20090818090752Tue, 18 Aug 2009 21:07:52 GMT20090818090752Tue, 02 Feb 2010 16:08:46 GMT20100202040846Seven steps to patient safety for primary care13/02/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59804Tue, 18 Aug 2009 21:07:35 GMT20090818090735Tue, 18 Aug 2009 21:07:35 GMT20090818090735Thu, 24 Sep 2009 18:21:11 GMT20090924062111High dose morphine and diamorphine injections25/05/2006http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59803Tue, 18 Aug 2009 21:07:32 GMT20090818090732Tue, 18 Aug 2009 21:07:32 GMT20090818090732Tue, 15 Sep 2009 17:22:02 GMT20090915052202Improving compliance with oral methotrexate guidelines01/06/2006http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59800Tue, 18 Aug 2009 21:07:23 GMT20090818090723Tue, 18 Aug 2009 21:07:23 GMT20090818090723Fri, 04 Mar 2011 14:55:05 GMT20110304025505Manchester Patient Safety Framework (MaPSaF)01/01/2006http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59796Tue, 18 Aug 2009 21:07:07 GMT20090818090707Tue, 18 Aug 2009 21:07:07 GMT20090818090707Fri, 04 Mar 2011 14:55:58 GMT20110304025558Ensuring safer practice with Repevax and Revaxis vaccines01/05/2004http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59795Tue, 18 Aug 2009 21:07:03 GMT20090818090703Tue, 18 Aug 2009 21:07:03 GMT20090818090703Tue, 08 Sep 2009 16:56:38 GMT20090908045638Improving infusion device safety20/05/2004http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59788Tue, 18 Aug 2009 21:06:29 GMT20090818090629Tue, 18 Aug 2009 21:06:29 GMT20090818090629Fri, 12 Nov 2010 11:07:40 GMT20101112110740