Hospital nurse Patient safety resources from the NRLSResources for hospital nursesHarm 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 GMT20120608121822Risk 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 GMT20120330020943Minimising Risks of Mismatching Spinal, Epidural and Regional Devices with Incompatible Connectors28/11/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132897Mon, 28 Nov 2011 13:08:09 GMT20111128010809Mon, 28 Nov 2011 13:08:09 GMT20111128010809Fri, 08 Jun 2012 12:19:59 GMT20120608121959Keeping 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 GMT20120608122124Use of plastic bags for self harm Signal25/03/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=130187Thu, 24 Mar 2011 13:08:20 GMT20110324010820Thu, 24 Mar 2011 13:08:20 GMT20110324010820Thu, 24 Mar 2011 13:38:56 GMT20110324013856Multiple 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 plasma sodium levels in babies Signal25/03/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=130184Thu, 24 Mar 2011 12:18:17 GMT20110324121817Thu, 24 Mar 2011 12:18:17 GMT20110324121817Fri, 25 Mar 2011 11:18:16 GMT20110325111816Intravenous morphine administration on neonatal units Signal25/03/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=130181Thu, 24 Mar 2011 11:48:17 GMT20110324114817Thu, 24 Mar 2011 11:48:17 GMT20110324114817Fri, 25 Mar 2011 11:11:07 GMT20110325111107Early 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 GMT20110325111617Reducing the harm caused by misplaced nasogastric feeding tubes in adults, children and infants10/03/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=129640Mon, 07 Mar 2011 12:08:36 GMT20110307120836Mon, 07 Mar 2011 12:08:36 GMT20110307120836Fri, 08 Jun 2012 12:25:15 GMT20120608122515Risk of harm to patients who are nil by mouth Signal14/02/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=94854Mon, 07 Feb 2011 17:39:15 GMT20110207053915Mon, 07 Feb 2011 17:39:15 GMT20110207053915Mon, 14 Feb 2011 13:30:01 GMT20110214013001Missed 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 GMT20110214013254The risk of harm from children and neonates entangled in lines Signals14/02/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=94851Mon, 07 Feb 2011 17:31:10 GMT20110207053110Mon, 07 Feb 2011 17:31:10 GMT20110207053110Mon, 14 Feb 2011 13:34:54 GMT20110214013454The 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 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 GMT20110112115451Fri, 08 Jun 2012 12:26:59 GMT20120608122659Preventing fatalities from medication loading doses25/11/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=92305Wed, 24 Nov 2010 08:39:49 GMT20101124083949Wed, 24 Nov 2010 08:39:49 GMT20101124083949Wed, 01 Dec 2010 13:58:05 GMT20101201015805WHO surgical safety checklist: for maternity cases only11/11/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83972Fri, 05 Nov 2010 10:01:37 GMT20101105100137Fri, 05 Nov 2010 10:01:37 GMT20101105100137Mon, 20 Dec 2010 13:05:26 GMT20101220010526Haemorrhage 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 GMT20101029103004Overdose of intravenous paracetamol in infants and children Signal29/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83757Mon, 25 Oct 2010 14:52:20 GMT20101025025220Mon, 25 Oct 2010 14:52:20 GMT20101025025220Mon, 14 Feb 2011 13:41:00 GMT20110214014100Accurate 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 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 GMT20100705123253Reducing the risk of retained swabs after vaginal birth and perineal suturing26/05/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=74113Tue, 25 May 2010 16:54:34 GMT20100525045434Tue, 25 May 2010 16:54:34 GMT20100525045434Wed, 26 May 2010 14:46:47 GMT20100526024647Checking 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 GMT20100428011636WHO Surgical Safety Checklist: for radiological interventions only09/04/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=73612Tue, 06 Apr 2010 11:09:04 GMT20100406110904Tue, 06 Apr 2010 11:09:04 GMT20100406110904Thu, 04 Nov 2010 11:17:28 GMT20101104111728Early 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 GMT20120420024656Delayed diagnosis of cancer: Thematic review26/03/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=69894Fri, 26 Mar 2010 14:00:03 GMT20100326020003Fri, 26 Mar 2010 14:00:03 GMT20100326020003Fri, 28 May 2010 16:11:19 GMT20100528041119Never 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 GMT20100705123218Review of IntrapartumRelated Perinatal Deaths Pro Forma10/02/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=66360Wed, 10 Feb 2010 15:33:52 GMT20100210033352Wed, 10 Feb 2010 15:33:52 GMT20100210033352Fri, 08 Jul 2011 16:46:36 GMT20110708044636Placenta Praevia after Caesarean Section Care Bundle10/02/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=66359Wed, 10 Feb 2010 15:32:29 GMT20100210033229Wed, 10 Feb 2010 15:32:29 GMT20100210033229Thu, 22 Jul 2010 17:29:34 GMT20100722052934Intrapartum Scorecard10/02/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=66358Wed, 10 Feb 2010 15:28:01 GMT20100210032801Wed, 10 Feb 2010 15:28:01 GMT20100210032801Mon, 23 Aug 2010 13:58:45 GMT20100823015845Safer use of intravenous gentamicin for neonates09/02/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=66271Fri, 05 Feb 2010 15:25:18 GMT20100205032518Fri, 05 Feb 2010 15:25:18 GMT20100205032518Tue, 04 May 2010 12:49:06 GMT20100504124906Right 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 GMT20091209043224Anaesthetic e-form30/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65359Mon, 30 Nov 2009 13:46:29 GMT20091130014629Mon, 30 Nov 2009 13:46:29 GMT20091130014629Fri, 04 Mar 2011 14:59:45 GMT20110304025945Nasogastric tube feeding under restraint Signal27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65337Fri, 27 Nov 2009 10:25:27 GMT20091127102527Fri, 27 Nov 2009 10:25:27 GMT20091127102527Tue, 09 Mar 2010 12:29:44 GMT20100309122944Wrong side biopsy Signal27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65336Fri, 27 Nov 2009 10:16:42 GMT20091127101642Fri, 27 Nov 2009 10:16:42 GMT20091127101642Tue, 09 Mar 2010 13:04:49 GMT20100309010449Missed 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 GMT20100309010056Residual anaesthetic drugs in cannulae Signal27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65333Fri, 27 Nov 2009 09:51:32 GMT20091127095132Fri, 27 Nov 2009 09:51:32 GMT20091127095132Tue, 09 Mar 2010 13:50:58 GMT20100309015058Recognition 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 GMT20100309124942Pressure 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 GMT20100309010905Preventing suicide: a toolkit for mental health services25/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65297Tue, 24 Nov 2009 19:47:22 GMT20091124074722Tue, 24 Nov 2009 19:47:22 GMT20091124074722Wed, 26 Jan 2011 12:44:12 GMT20110126124412Oxygen 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 GMT20100202040125Quarterly 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 GMT20090917072427Preventing delay to follow-up for patients with glaucoma11/06/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61908Fri, 11 Sep 2009 13:35:41 GMT20090911013541Fri, 11 Sep 2009 13:35:41 GMT20090911013541Fri, 11 Sep 2009 13:42:11 GMT20090911014211Actions 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 GMT20100705120829Towards safer radiotherapy10/04/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61646Fri, 04 Sep 2009 11:13:59 GMT20090904111359Fri, 04 Sep 2009 11:13:59 GMT20090904111359Tue, 15 Sep 2009 16:10:59 GMT20090915041059Safety 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 GMT20100601095925Female 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 GMT20091130025058Reducing risk of overdose with midazolam injection in adults09/12/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59896Tue, 18 Aug 2009 21:11:07 GMT20090818091107Tue, 18 Aug 2009 21:11:07 GMT20090818091107Tue, 15 Sep 2009 17:46:14 GMT20090915054614Resuscitation in mental health and learning disability settings26/11/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59895Tue, 18 Aug 2009 21:11:06 GMT20090818091106Tue, 18 Aug 2009 21:11:06 GMT20090818091106Tue, 01 Jun 2010 09:48:11 GMT20100601094811Haemodialysis 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 GMT20090904022334Intravenous Heparin Flush Solutions24/04/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59892Tue, 18 Aug 2009 21:10:59 GMT20090818091059Tue, 18 Aug 2009 21:10:59 GMT20090818091059Tue, 15 Sep 2009 16:17:54 GMT20090915041754Infusions 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 GMT20090908050421Vinca alkaloid minibags (adultadolescent units)11/08/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59890Tue, 18 Aug 2009 21:10:56 GMT20090818091056Tue, 18 Aug 2009 21:10:56 GMT20090818091056Mon, 17 May 2010 10:00:55 GMT20100517100055Avoiding wrong side burr holes-craniotomy11/12/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59889Tue, 18 Aug 2009 21:10:54 GMT20090818091054Tue, 18 Aug 2009 21:10:54 GMT20090818091054Mon, 17 May 2010 09:46:51 GMT20100517094651Reducing 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 GMT20100528042845Chest drains: risks associated with the insertion of chest drains01/05/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59887Tue, 18 Aug 2009 21:10:50 GMT20090818091050Tue, 18 Aug 2009 21:10:50 GMT20090818091050Tue, 08 Sep 2009 16:36:12 GMT20090908043612Hospital hydration best practice toolkit25/08/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59886Tue, 18 Aug 2009 21:10:47 GMT20090818091047Tue, 18 Aug 2009 21:10:47 GMT20090818091047Sat, 19 Sep 2009 17:21:43 GMT20090919052143Potassium 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 GMT20090909091351Oral 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 GMT20100528042530Technical patient safety solutions for ventilator-associated pneumonia in adults01/08/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59879Tue, 18 Aug 2009 21:10:33 GMT20090818091033Tue, 18 Aug 2009 21:10:33 GMT20090818091033Tue, 15 Sep 2009 17:48:37 GMT20090915054837NICE 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 GMT20090915054643Fire 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 GMT20090910022848Risk of confusion between cytarabine and liposomal cytarabine (Depocyte)18/06/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59875Tue, 18 Aug 2009 21:10:26 GMT20090818091026Tue, 18 Aug 2009 21:10:26 GMT20090818091026Tue, 08 Sep 2009 16:32:47 GMT20090908043247Non-lipid and lipid formulations of injectable amphotericin03/09/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59874Tue, 18 Aug 2009 21:10:25 GMT20090818091025Tue, 18 Aug 2009 21:10:25 GMT20090818091025Tue, 08 Sep 2009 17:09:22 GMT20090908050922Emergency 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 GMT20101004023131Quarterly 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 GMT20090904104823Reducing risk of harm from oral bowel cleansing solutions19/02/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59869Tue, 18 Aug 2009 21:10:18 GMT20090818091018Tue, 18 Aug 2009 21:10:18 GMT20090818091018Wed, 30 Sep 2009 19:50:41 GMT20090930075041Mitigating surgical risk in patients undergoing hip arthroplasty for fractures of the proximal femur11/03/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59867Tue, 18 Aug 2009 21:10:15 GMT20090818091015Tue, 18 Aug 2009 21:10:15 GMT20090818091015Fri, 30 Oct 2009 12:35:29 GMT20091030123529Review 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 - medication incidents in anaesthesia01/02/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59863Tue, 18 Aug 2009 21:10:08 GMT20090818091008Tue, 18 Aug 2009 21:10:08 GMT20090818091008Fri, 04 Sep 2009 10:32:23 GMT20090904103223Quarterly 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 GMT20090904103247WHO Surgical Safety Checklist26/01/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59860Tue, 18 Aug 2009 21:10:04 GMT20090818091004Tue, 18 Aug 2009 21:10:04 GMT20090818091004Fri, 01 Apr 2011 14:20:59 GMT20110401022059Never 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 GMT20100517094855Quarterly Data Summary Issue 10: Learning from reporting - reliability in discharge processes01/11/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59856Tue, 18 Aug 2009 21:09:53 GMT20090818090953Tue, 18 Aug 2009 21:09:53 GMT20090818090953Fri, 04 Sep 2009 10:31:25 GMT20090904103125Quarterly Data Summary Issue 10: Learning from reporting - patient identification01/11/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59855Tue, 18 Aug 2009 21:09:51 GMT20090818090951Tue, 18 Aug 2009 21:09:51 GMT20090818090951Fri, 04 Sep 2009 10:30:39 GMT20090904103039Throat 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 GMT20090904031509Quarterly Data Summary Issue 9: Learning from reporting - nasogastric tube incidents01/01/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59851Tue, 18 Aug 2009 21:09:42 GMT20090818090942Tue, 18 Aug 2009 21:09:42 GMT20090818090942Fri, 04 Sep 2009 11:47:51 GMT20090904114751Quarterly Data Summary Issue 9: Learning from reporting - device-related incidents01/01/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59850Tue, 18 Aug 2009 21:09:41 GMT20090818090941Tue, 18 Aug 2009 21:09:41 GMT20090818090941Fri, 04 Sep 2009 11:45:32 GMT20090904114532Foresight 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 - focus on mental health01/02/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59838Tue, 18 Aug 2009 21:09:19 GMT20090818090919Tue, 18 Aug 2009 21:09:19 GMT20090818090919Fri, 04 Sep 2009 10:55:28 GMT20090904105528Recognising and responding appropriately to early signs of deterioration in hospitalised patients01/11/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59834Tue, 18 Aug 2009 21:09:12 GMT20090818090912Tue, 18 Aug 2009 21:09:12 GMT20090818090912Fri, 04 Sep 2009 11:52:55 GMT20090904115255Safer 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 GMT20090904025047Standardising wristbands improves patient safety03/07/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59824Tue, 18 Aug 2009 21:08:47 GMT20090818090847Tue, 18 Aug 2009 21:08:47 GMT20090818090847Thu, 03 Dec 2009 14:58:29 GMT20091203025829Ensuring 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 GMT20100202031955Bedrails Safer Practice Notice26/02/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59815Tue, 18 Aug 2009 21:08:19 GMT20090818090819Tue, 18 Aug 2009 21:08:19 GMT20090818090819Fri, 20 Apr 2012 15:04:19 GMT20120420030419Actions 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 GMT20090915041327Reducing the risk of hyponatraemia when administering intravenous infusions to children28/03/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59809Tue, 18 Aug 2009 21:07:57 GMT20090818090757Tue, 18 Aug 2009 21:07:57 GMT20090818090757Thu, 24 Jun 2010 10:29:00 GMT20100624102900Promoting 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 GMT20090908045657Protected Mealtimes01/01/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59806Tue, 18 Aug 2009 21:07:44 GMT20090818090744Tue, 18 Aug 2009 21:07:44 GMT20090818090744Thu, 03 Sep 2009 17:13:22 GMT20090903051322Right 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 GMT20090915052202With safety in mind01/07/2006http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59801Tue, 18 Aug 2009 21:07:26 GMT20090818090726Tue, 18 Aug 2009 21:07:26 GMT20090818090726Tue, 15 Sep 2009 17:19:29 GMT20090915051929Improving 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 GMT20110304025826Manchester 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 GMT20110304025558Reducing harm caused by the misplacement of nasogastric feeding tubes21/02/2005http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59794Tue, 18 Aug 2009 21:06:59 GMT20090818090659Tue, 18 Aug 2009 21:06:59 GMT20090818090659Tue, 15 Sep 2009 12:38:47 GMT20090915123847Protecting 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 GMT20110304115455Patient Safety Information: spinal cord lesion and bowel care15/09/2004http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59790Tue, 18 Aug 2009 21:06:39 GMT20090818090639Tue, 18 Aug 2009 21:06:39 GMT20090818090639Thu, 03 Sep 2009 11:42:12 GMT20090903114212Establishing 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