Emergency medicine Patient safety resources from the NRLSGuidance and alerts to help improve patient safety in emergency medicineHarm 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, 20 Apr 2012 15:40:14 GMT20120420034014Risk 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 GMT20120418093820Risk 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 GMT20120330020943Multiple use of single use injectable medicines Signal25/03/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=130185Thu, 24 Mar 2011 12:48:45 GMT20110324124845Thu, 24 Mar 2011 12:48:45 GMT20110324124845Fri, 25 Mar 2011 11:22:41 GMT20110325112241Monitoring 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 GMT20110325111617Missed diagnosis of fractures in children Signal14/02/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=94852Mon, 07 Feb 2011 17:34:48 GMT20110207053448Mon, 07 Feb 2011 17:34:48 GMT20110207053448Mon, 14 Feb 2011 13:32:54 GMT20110214013254Airway 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 GMT20110214013340Essential care after an inpatient fall13/01/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=94033Wed, 12 Jan 2011 11:54:51 GMT20110112115451Wed, 12 Jan 2011 11:54:51 GMT20110112115451Mon, 07 Feb 2011 15:28:48 GMT20110207032848Haemorrhage following removal of femoral catheters Signal29/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83805Wed, 27 Oct 2010 14:50:36 GMT20101027025036Wed, 27 Oct 2010 14:50:36 GMT20101027025036Thu, 28 Oct 2010 11:23:34 GMT20101028112334Detecting harm following paracetamol overdose Signal29/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83772Tue, 26 Oct 2010 10:21:27 GMT20101026102127Tue, 26 Oct 2010 10:21:27 GMT20101026102127Fri, 29 Oct 2010 10:56:47 GMT20101029105647Delay 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 GMT20101028112118Non-invasive ventilation Signal29/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83759Mon, 25 Oct 2010 15:53:37 GMT20101025035337Mon, 25 Oct 2010 15:53:37 GMT20101025035337Fri, 29 Oct 2010 10:30:04 GMT20101029103004Accurate 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 GMT20110418042921The transfusion of blood and blood components in an emergency21/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83659Tue, 19 Oct 2010 15:54:00 GMT20101019035400Tue, 19 Oct 2010 15:54:00 GMT20101019035400Thu, 21 Oct 2010 12:55:54 GMT20101021125554Never 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 GMT20101008044308Design 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 GMT20100712092203Checking pregnancy before surgery28/04/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=73838Fri, 23 Apr 2010 11:01:58 GMT20100423110158Fri, 23 Apr 2010 11:01:58 GMT20100423110158Wed, 28 Apr 2010 13:16:36 GMT20100428011636Never 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 GMT20100517094537Reducing harm from omitted and delayed medicines in hospital24/02/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=66720Tue, 23 Feb 2010 17:57:56 GMT20100223055756Tue, 23 Feb 2010 17:57:56 GMT20100223055756Mon, 05 Jul 2010 12:32:18 GMT20100705123218Right patient, right blood: core competencies09/11/2006http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65838Thu, 07 Jan 2010 10:28:30 GMT20100107102830Thu, 07 Jan 2010 10:28:30 GMT20100107102830Fri, 05 Nov 2010 16:05:57 GMT20101105040557Reducing the risks of tourniquets left on after finger and toe surgery09/12/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65568Wed, 09 Dec 2009 09:22:06 GMT20091209092206Wed, 09 Dec 2009 09:22:06 GMT20091209092206Wed, 09 Dec 2009 16:32:24 GMT20091209043224Missed diagnosis and delayed treatment for ectopic pregnancies Signal27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65335Fri, 27 Nov 2009 10:10:29 GMT20091127101029Fri, 27 Nov 2009 10:10:29 GMT20091127101029Tue, 09 Mar 2010 13:02:57 GMT20100309010257Distance to travel for key on-call staff Signal27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65334Fri, 27 Nov 2009 10:03:03 GMT20091127100303Fri, 27 Nov 2009 10:03:03 GMT20091127100303Tue, 09 Mar 2010 13:00:56 GMT20100309010056Recognition of compartment syndrome Signal27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65331Fri, 27 Nov 2009 09:29:24 GMT20091127092924Fri, 27 Nov 2009 09:29:24 GMT20091127092924Tue, 09 Mar 2010 12:49:42 GMT20100309124942Oxygen safety in hospitals Rapid Response Report29/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62811Tue, 29 Sep 2009 11:51:59 GMT20090929115159Tue, 29 Sep 2009 11:51:59 GMT20090929115159Tue, 02 Feb 2010 16:01:25 GMT20100202040125Managing sickle cell crises Signal24/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62531Wed, 23 Sep 2009 18:13:55 GMT20090923061355Wed, 23 Sep 2009 18:13:55 GMT20090923061355Tue, 09 Mar 2010 12:03:05 GMT20100309120305Delayed diagnosis of spinal fractures Signal24/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62528Wed, 23 Sep 2009 18:05:49 GMT20090923060549Wed, 23 Sep 2009 18:05:49 GMT20090923060549Tue, 09 Mar 2010 12:16:48 GMT20100309121648Delayed diagnosis of testicular torsion Signal24/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62524Wed, 23 Sep 2009 17:35:09 GMT20090923053509Wed, 23 Sep 2009 17:35:09 GMT20090923053509Tue, 09 Mar 2010 11:56:06 GMT20100309115606Quarterly Data Summary Issue 13: Learning from reporting - chest drains31/08/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62054Thu, 17 Sep 2009 19:11:09 GMT20090917071109Thu, 17 Sep 2009 19:11:09 GMT20090917071109Thu, 17 Sep 2009 19:24:27 GMT20090917072427Minimising risks of suprapubic catheter insertion (adults only)29/07/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61917Fri, 11 Sep 2009 13:48:58 GMT20090911014858Fri, 11 Sep 2009 13:48:58 GMT20090911014858Tue, 20 Apr 2010 09:45:20 GMT20100420094520Actions 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 GMT20100705120829Female urinary catheters causing trauma to adult males30/04/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59897Tue, 18 Aug 2009 21:11:08 GMT20090818091108Tue, 18 Aug 2009 21:11:08 GMT20090818091108Mon, 30 Nov 2009 14:50:58 GMT20091130025058Infusions and sampling from arterial lines Rapid Response Report28/07/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59891Tue, 18 Aug 2009 21:10:58 GMT20090818091058Tue, 18 Aug 2009 21:10:58 GMT20090818091058Tue, 08 Sep 2009 17:04:21 GMT20090908050421Reducing 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 GMT20100528042845Potassium solutions: risks to patients from errors occurring during intravenous administration31/10/2002http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59882Tue, 18 Aug 2009 21:10:40 GMT20090818091040Tue, 18 Aug 2009 21:10:40 GMT20090818091040Wed, 09 Sep 2009 09:13:51 GMT20090909091351NICE NPSA medicines reconciliation adults hospital01/12/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59878Tue, 18 Aug 2009 21:10:31 GMT20090818091031Tue, 18 Aug 2009 21:10:31 GMT20090818091031Tue, 15 Sep 2009 17:46:43 GMT20090915054643Emergency support in surgical units: dealing with haemorrhage10/09/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59873Tue, 18 Aug 2009 21:10:24 GMT20090818091024Tue, 18 Aug 2009 21:10:24 GMT20090818091024Mon, 04 Oct 2010 14:31:31 GMT20101004023131Never Events Framework 2009-1001/02/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59859Tue, 18 Aug 2009 21:10:02 GMT20090818091002Tue, 18 Aug 2009 21:10:02 GMT20090818091002Mon, 17 May 2010 09:48:55 GMT20100517094855Throat Packs28/04/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59853Tue, 18 Aug 2009 21:09:46 GMT20090818090946Tue, 18 Aug 2009 21:09:46 GMT20090818090946Fri, 04 Sep 2009 15:15:09 GMT20090904031509Patient 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 GMT20100202040846Epidural injections and infusions28/03/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59807Tue, 18 Aug 2009 21:07:48 GMT20090818090748Tue, 18 Aug 2009 21:07:48 GMT20090818090748Tue, 08 Sep 2009 16:56:57 GMT20090908045657Right patient, right blood: advice for safer blood transfusions09/11/2006http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59805Tue, 18 Aug 2009 21:07:39 GMT20090818090739Tue, 18 Aug 2009 21:07:39 GMT20090818090739Fri, 04 Mar 2011 14:54:35 GMT20110304025435High 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 GMT20110304025505Reducing the harm caused by misplaced naso and orogastric feeding tubes in babies under the care of neonatal units18/09/2005http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59798Tue, 18 Aug 2009 21:07:16 GMT20090818090716Tue, 18 Aug 2009 21:07:16 GMT20090818090716Fri, 04 Mar 2011 14:58:26 GMT20110304025826Protecting patients who are neck breathers07/03/2005http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59793Tue, 18 Aug 2009 21:06:56 GMT20090818090656Tue, 18 Aug 2009 21:06:56 GMT20090818090656Fri, 04 Mar 2011 11:54:55 GMT20110304115455Establishing a standard crash call telephone number in hospitals24/02/2004http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59789Tue, 18 Aug 2009 21:06:35 GMT20090818090635Tue, 18 Aug 2009 21:06:35 GMT20090818090635Fri, 04 Mar 2011 14:37:45 GMT20110304023745Improving 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