NRLS patient safety resourcesAll patient safety resources from the NRLSOrganisation Patient Safety Incident Reports - data workbooks March 201320/03/2013http://www.nrls.npsa.nhs.uk/resources/?EntryId45=135147Tue, 19 Mar 2013 16:58:48 GMT20130319045848Tue, 19 Mar 2013 16:58:48 GMT20130319045848Tue, 26 Mar 2013 11:15:18 GMT20130326111518Organisation Patient Safety Incident Reports - data workbooks September 201212/09/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=134579Wed, 12 Sep 2012 09:36:28 GMT20120912093628Wed, 12 Sep 2012 09:36:28 GMT20120912093628Tue, 26 Mar 2013 11:12:40 GMT20130326111240Supporting information for Organisation Patient Safety Incident Reports - September 201212/09/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=134578Wed, 12 Sep 2012 09:30:11 GMT20120912093011Wed, 12 Sep 2012 09:30:11 GMT20120912093011Thu, 13 Sep 2012 15:30:19 GMT20120913033019Harm 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 GMT20120322103249Organisation Patient Safety Incident Reports - data workbooks March 201214/03/2012http://www.nrls.npsa.nhs.uk/resources/?EntryId45=133427Tue, 13 Mar 2012 15:51:08 GMT20120313035108Tue, 13 Mar 2012 15:51:08 GMT20120313035108Tue, 13 Mar 2012 16:09:06 GMT20120313040906Recognising 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 GMT20120302122054Diagnosis 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 GMT20120608122124Risk of harm from ingestion of Vernagel Signal29/09/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132835Wed, 28 Sep 2011 14:31:36 GMT20110928023136Wed, 28 Sep 2011 14:31:36 GMT20110928023136Wed, 28 Sep 2011 14:32:48 GMT20110928023248Tracking subsequent removal of intentionally retained swabs Signal29/09/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132834Wed, 28 Sep 2011 14:26:45 GMT20110928022645Wed, 28 Sep 2011 14:26:45 GMT20110928022645Thu, 29 Sep 2011 10:01:55 GMT20110929100155Risk of bowel obstruction post orthopaedic surgery: Ogilvie Syndrome Signal29/09/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132833Wed, 28 Sep 2011 14:24:06 GMT20110928022406Wed, 28 Sep 2011 14:24:06 GMT20110928022406Thu, 29 Sep 2011 10:02:34 GMT20110929100234Rapid deterioration in patients with Systemic Lupus Erythematosus Signal29/09/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132831Wed, 28 Sep 2011 14:19:18 GMT20110928021918Wed, 28 Sep 2011 14:19:18 GMT20110928021918Thu, 29 Sep 2011 10:24:20 GMT20110929102420Risk of air embolism when removing central lines Signal29/09/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132830Wed, 28 Sep 2011 14:14:37 GMT20110928021437Wed, 28 Sep 2011 14:14:37 GMT20110928021437Thu, 29 Sep 2011 09:28:32 GMT20110929092832Risk of harm from retained guidewires following central venous access Signal29/09/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132829Wed, 28 Sep 2011 14:10:52 GMT20110928021052Wed, 28 Sep 2011 14:10:52 GMT20110928021052Thu, 29 Sep 2011 09:25:46 GMT20110929092546Risk of harm from acupuncture treatment including pneumothorax Signal29/09/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132828Wed, 28 Sep 2011 10:55:25 GMT20110928105525Wed, 28 Sep 2011 10:55:25 GMT20110928105525Thu, 29 Sep 2011 09:22:47 GMT20110929092247Prevention of harm with alfacalcidol preparations Signal29/09/2011http://www.nrls.npsa.nhs.uk/resources/?EntryId45=132827Wed, 28 Sep 2011 10:48:37 GMT20110928104837Wed, 28 Sep 2011 10:48:37 GMT20110928104837Tue, 13 Dec 2011 14:45:45 GMT20111213024545Monitoring 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 GMT20110325111345Risk 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 GMT20110214050301Essential 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 GMT20120608122659Risk of harm to bariatric patients from delays in treatment Signal29/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83822Wed, 27 Oct 2010 17:13:28 GMT20101027051328Wed, 27 Oct 2010 17:13:28 GMT20101027051328Fri, 29 Oct 2010 10:42:25 GMT20101029104225Detecting 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 GMT20101028112118Being Open framework19/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=83726Fri, 22 Oct 2010 12:00:02 GMT20101022120002Fri, 22 Oct 2010 12:00:02 GMT20101022120002Fri, 22 Oct 2010 12:12:18 GMT20101022121218Patient 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 GMT20101012105000Supporting information for Organisation Patient Safety Incident Reports - September 201015/09/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=76319Wed, 15 Sep 2010 07:58:17 GMT20100915075817Wed, 15 Sep 2010 07:58:17 GMT20100915075817Wed, 02 Mar 2011 10:17:40 GMT20110302101740Reducing 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 GMT20101011120450Slips, trips and falls data update23/06/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=74567Wed, 23 Jun 2010 14:29:37 GMT20100623022937Wed, 23 Jun 2010 14:29:37 GMT20100623022937Mon, 19 Jul 2010 17:40:12 GMT20100719054012Medical error. What to do if things go wrong: a guide for junior doctors07/06/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=74246Sun, 06 Jun 2010 23:18:50 GMT20100606111850Sun, 06 Jun 2010 23:18:50 GMT20100606111850Mon, 07 Jun 2010 13:09:32 GMT20100607010932Design for patient safety: A guide to the design of electronic infusion devices24/03/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=68534Wed, 24 Mar 2010 12:09:29 GMT20100324120929Wed, 24 Mar 2010 12:09:29 GMT20100324120929Tue, 13 Jul 2010 15:22:16 GMT20100713032216Organisation Patient Safety Incident Reports March 201024/03/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=68486Tue, 23 Mar 2010 15:09:28 GMT20100323030928Tue, 23 Mar 2010 15:09:28 GMT20100323030928Thu, 25 Mar 2010 11:03:10 GMT20100325110310Design for patient safety: guidelines for the safe on-screen display of medication information23/02/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=66713Tue, 23 Feb 2010 15:28:24 GMT20100223032824Tue, 23 Feb 2010 15:28:24 GMT20100223032824Mon, 07 Mar 2011 14:55:24 GMT20110307025524Right 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 GMT20101105040557Analysing 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 GMT20100528042022Reducing 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 GMT20091209043224Safer lithium therapy01/12/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65426Tue, 01 Dec 2009 10:59:05 GMT20091201105905Tue, 01 Dec 2009 10:59:05 GMT20091201105905Wed, 06 Apr 2011 12:05:01 GMT20110406120501Anaesthetic 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 GMT20110304025945Confidentiality issues for patients at risk of harming others Signal27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65338Fri, 27 Nov 2009 10:30:11 GMT20091127103011Fri, 27 Nov 2009 10:30:11 GMT20091127103011Fri, 28 May 2010 16:17:04 GMT20100528041704Nasogastric 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 GMT20100309015058Pain 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 GMT20100601095450Recognition 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 GMT20100309010905Quarterly Data Summary Issue 14: Learning from reporting - improving the quality of data27/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65329Fri, 27 Nov 2009 09:07:50 GMT20091127090750Fri, 27 Nov 2009 09:07:50 GMT20091127090750Fri, 27 Nov 2009 09:16:08 GMT20091127091608Quarterly data summary issue 1427/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65320Thu, 26 Nov 2009 17:06:17 GMT20091126050617Thu, 26 Nov 2009 17:06:17 GMT20091126050617Fri, 14 May 2010 10:36:57 GMT20100514103657Preventing 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 GMT20110126124412Being open: communicating patient safety incidents with patients, their families and carers19/11/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=65077Thu, 05 Nov 2009 10:09:32 GMT20091105100932Thu, 05 Nov 2009 10:09:32 GMT20091105100932Fri, 22 Oct 2010 12:17:27 GMT20101022121727Organisation Patient Safety Incident Reports07/10/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62932Tue, 06 Oct 2009 14:31:19 GMT20091006023119Tue, 06 Oct 2009 14:31:19 GMT20091006023119Wed, 27 Jan 2010 09:52:34 GMT20100127095234Oxygen 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 GMT20100202040125Wardrobes used as ligature points Signal24/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62535Wed, 23 Sep 2009 18:30:15 GMT20090923063015Wed, 23 Sep 2009 18:30:15 GMT20090923063015Mon, 19 Jul 2010 17:47:17 GMT20100719054717Vaccine storage Signal24/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62534Wed, 23 Sep 2009 18:25:47 GMT20090923062547Wed, 23 Sep 2009 18:25:47 GMT20090923062547Tue, 09 Mar 2010 12:11:06 GMT20100309121106Total intravenous anaesthesia Signal24/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62533Wed, 23 Sep 2009 18:20:25 GMT20090923062025Wed, 23 Sep 2009 18:20:25 GMT20090923062025Tue, 09 Mar 2010 11:51:32 GMT20100309115132Poor quality of organs for transplant Signal24/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62532Wed, 23 Sep 2009 18:17:17 GMT20090923061717Wed, 23 Sep 2009 18:17:17 GMT20090923061717Tue, 09 Mar 2010 11:53:16 GMT20100309115316Managing 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 GMT20100309120305Haemorrhage after liver biopsy Signal24/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62530Wed, 23 Sep 2009 18:10:37 GMT20090923061037Wed, 23 Sep 2009 18:10:37 GMT20090923061037Tue, 09 Mar 2010 12:25:33 GMT20100309122533Extravasation injury in neonates Signal24/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62529Wed, 23 Sep 2009 18:08:46 GMT20090923060846Wed, 23 Sep 2009 18:08:46 GMT20090923060846Tue, 09 Mar 2010 13:54:01 GMT20100309015401Delayed 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 GMT20100309115606Data Quality Standards guidance for organisations reporting to the RLS18/09/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62099Fri, 18 Sep 2009 14:38:36 GMT20090918023836Fri, 18 Sep 2009 14:38:36 GMT20090918023836Fri, 28 May 2010 16:11:57 GMT20100528041157Quarterly 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 GMT20090917072427Quarterly Data Summary Issue 13: Learning from reporting - staffing31/08/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62052Thu, 17 Sep 2009 18:57:28 GMT20090917065728Thu, 17 Sep 2009 18:57:28 GMT20090917065728Thu, 17 Sep 2009 19:26:13 GMT20090917072613Quarterly Data Summary issue 1331/08/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=62049Thu, 17 Sep 2009 18:36:27 GMT20090917063627Thu, 17 Sep 2009 18:36:27 GMT20090917063627Tue, 20 Oct 2009 15:41:46 GMT20091020034146Minimising 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 GMT20100420094520Learning through action to reduce infection01/06/2006http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61832Thu, 10 Sep 2009 16:20:01 GMT20090910042001Thu, 10 Sep 2009 16:20:01 GMT20090910042001Tue, 22 Sep 2009 13:02:11 GMT20090922010211Revised Healthcare Cleaning Manual05/06/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61830Thu, 10 Sep 2009 15:41:58 GMT20090910034158Thu, 10 Sep 2009 15:41:58 GMT20090910034158Tue, 27 Oct 2009 17:30:00 GMT20091027053000Actions 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 GMT20100705120829Medical Error01/08/2005http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61579Tue, 01 Sep 2009 11:45:32 GMT20090901114532Tue, 01 Sep 2009 11:45:32 GMT20090901114532Tue, 15 Sep 2009 17:13:53 GMT20090915051353Acting on serious risks to patients01/02/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61516Fri, 28 Aug 2009 17:00:55 GMT20090828050055Fri, 28 Aug 2009 17:00:55 GMT20090828050055Tue, 29 Sep 2009 09:59:12 GMT20090929095912Significant Event Audit01/10/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61500Fri, 28 Aug 2009 14:08:46 GMT20090828020846Fri, 28 Aug 2009 14:08:46 GMT20090828020846Tue, 01 Jun 2010 10:06:39 GMT20100601100639National specifications for cleanliness in the NHS: ambulance trusts11/02/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=61467Fri, 28 Aug 2009 11:08:25 GMT20090828110825Fri, 28 Aug 2009 11:08:25 GMT20090828110825Wed, 03 Feb 2010 17:52:10 GMT20100203055210NHS ConfedNPSA briefing: Five actions to improve patient safety reporting01/06/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59903Tue, 18 Aug 2009 21:11:15 GMT20090818091115Tue, 18 Aug 2009 21:11:15 GMT20090818091115Fri, 28 May 2010 16:23:28 GMT20100528042328Incident Decision Tree01/02/2004http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59900Tue, 18 Aug 2009 21:11:11 GMT20090818091111Tue, 18 Aug 2009 21:11:11 GMT20090818091111Wed, 16 May 2012 11:07:45 GMT20120516110745Female 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 GMT20100601094811Intravenous 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 GMT20090908050421Avoiding 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 GMT20100517094651Chest 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 GMT20090919052143Engaging Clinicians31/10/2002http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59883Tue, 18 Aug 2009 21:10:42 GMT20090818091042Tue, 18 Aug 2009 21:10:42 GMT20090818091042Thu, 11 Nov 2010 14:39:32 GMT20101111023932Design for Patient Safety Report01/01/2003http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59881Tue, 18 Aug 2009 21:10:38 GMT20090818091038Tue, 18 Aug 2009 21:10:38 GMT20090818091038Tue, 08 Sep 2009 16:38:06 GMT20090908043806NICE 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 GMT20101004023131Reducing 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 GMT20091030123529Nutrition factsheets01/01/2009http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59865Tue, 18 Aug 2009 21:10:13 GMT20090818091013Tue, 18 Aug 2009 21:10:13 GMT20090818091013Mon, 05 Jul 2010 11:01:48 GMT20100705110148Review 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 GMT20100202031509Never 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 GMT20100517094855Clean hands save lives02/09/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59848Tue, 18 Aug 2009 21:09:38 GMT20090818090938Tue, 18 Aug 2009 21:09:38 GMT20090818090938Thu, 09 Dec 2010 16:45:29 GMT20101209044529Feasibility of confirming drugs administered during anaesthesia12/10/2010http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59845Tue, 18 Aug 2009 21:09:32 GMT20090818090932Tue, 18 Aug 2009 21:09:32 GMT20090818090932Tue, 12 Oct 2010 15:01:04 GMT20101012030104Compendium of Patient Safety in Practice01/05/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59841Tue, 18 Aug 2009 21:09:24 GMT20090818090924Tue, 18 Aug 2009 21:09:24 GMT20090818090924Tue, 08 Sep 2009 16:37:22 GMT20090908043722Foresight 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 GMT20090921062706Independent investigation of serious patient safety incidents in mental health services01/03/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59836Tue, 18 Aug 2009 21:09:17 GMT20090818090917Tue, 18 Aug 2009 21:09:17 GMT20090818090917Tue, 08 Sep 2009 17:04:38 GMT20090908050438A risk matrix for risk managers01/01/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59833Tue, 18 Aug 2009 21:09:11 GMT20090818090911Tue, 18 Aug 2009 21:09:11 GMT20090818090911Wed, 20 Oct 2010 16:18:24 GMT20101020041824Design for patient safety: a guide to the labelling and packaging of injectable medicines01/05/2008http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59831Tue, 18 Aug 2009 21:09:07 GMT20090818090907Tue, 18 Aug 2009 21:09:07 GMT20090818090907Tue, 08 Sep 2009 16:39:17 GMT20090908043917Design for patient safety: a guide to the design of the dispensing environment01/01/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59830Tue, 18 Aug 2009 21:09:05 GMT20090818090905Tue, 18 Aug 2009 21:09:05 GMT20090818090905Mon, 07 Mar 2011 14:58:24 GMT20110307025824Design for patient safety: a guide to the design of dispensed medicines01/01/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59829Tue, 18 Aug 2009 21:09:03 GMT20090818090903Tue, 18 Aug 2009 21:09:03 GMT20090818090903Tue, 08 Sep 2009 16:55:12 GMT20090908045512Healthcare risk assessment made easy01/03/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59825Tue, 18 Aug 2009 21:08:51 GMT20090818090851Tue, 18 Aug 2009 21:08:51 GMT20090818090851Fri, 04 Mar 2011 14:54:19 GMT20110304025419Ensuring 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 GMT20091008050436Hospital at Night01/06/2005http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59820Tue, 18 Aug 2009 21:08:37 GMT20090818090837Tue, 18 Aug 2009 21:08:37 GMT20090818090837Tue, 08 Sep 2009 17:01:03 GMT20090908050103National specifications for cleanliness in the NHS01/04/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59818Tue, 18 Aug 2009 21:08:31 GMT20090818090831Tue, 18 Aug 2009 21:08:31 GMT20090818090831Tue, 08 Sep 2009 17:10:15 GMT20090908051015Early identification of failure to act on radiological imaging reports05/02/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59817Tue, 18 Aug 2009 21:08:27 GMT20090818090827Tue, 18 Aug 2009 21:08:27 GMT20090818090827Tue, 29 Sep 2009 10:44:37 GMT20090929104437Future ambulances01/01/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59816Tue, 18 Aug 2009 21:08:24 GMT20090818090824Tue, 18 Aug 2009 21:08:24 GMT20090818090824Tue, 08 Sep 2009 16:59:46 GMT20090908045946Bedrails 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 GMT20110608093418Risk assessment programme01/11/2006http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59813Tue, 18 Aug 2009 21:08:12 GMT20090818090812Tue, 18 Aug 2009 21:08:12 GMT20090818090812Tue, 08 Sep 2009 16:32:29 GMT20090908043229Colour coding hospital cleaning materials and equipment10/01/2007http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59810Tue, 18 Aug 2009 21:08:01 GMT20090818090801Tue, 18 Aug 2009 21:08:01 GMT20090818090801Tue, 08 Sep 2009 16:36:51 GMT20090908043651Reducing 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 GMT20100624102900Epidural 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 GMT20110304025826Building a memory18/09/2005http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59797Tue, 18 Aug 2009 21:07:11 GMT20090818090711Tue, 18 Aug 2009 21:07:11 GMT20090818090711Fri, 04 Mar 2011 14:58:12 GMT20110304025812Manchester 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 GMT20090908045638Being open when patients are harmed01/10/2004http://www.nrls.npsa.nhs.uk/resources/?EntryId45=59792Tue, 18 Aug 2009 21:06:50 GMT20090818090650Tue, 18 Aug 2009 21:06:50 GMT20090818090650Fri, 07 May 2010 13:39:35 GMT20100507013935Establishing 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 GMT20110304023745