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Oxygen safety in hospitals | Rapid Response Report

Reference number
1124
Central Alert System (CAS) reference
NPSA/2009/RRR006
Issue date29 September 2009
Action date (if applicable) (date field)29 March 2010
DH Gateway reference
12455
TypeAlert

Oxygen is indicated in many critical conditions and can save lives by preventing severe hypoxaemia. However, there is a potential for serious harm and even death if it is not administered and managed appropriately.

 

Common issues include:

  • Failure to or wrongly prescribed oxygen
  • Patients not monitored properly
  • Problems with administration
  • Faulty and/or missing equipment

 

Following a patient safety incident, reported to the Reporting and Learning System (RLS), where a patient was inadvertently connected to air instead of oxygen, the National Reporting and Learning Service (NRLS) has issued the Rapid Response Report (RRR) ‘Oxygen safety in hospitals’ to minimise the risks of oxygen therapy.

 

‘Oxygen safety in hospitals’ includes:

  • Immediate action points for all hospitals
  • Supporting information, including a review of evidence of harm
  • Briefing for doctors
  • Briefing for nurses, midwives and AHPs

View Oxygen safety in hospitals Rapid Response Report and supporting documents below.

 


Oxygen safety in hospitals: Rapid Response Report
Oxygen safety in hospitals: Rapid Response Report - 49 KB 1124 - Oxygen safety in hospitals - Rapid Response Report - 2009.09.29 - v1
Oxygen safety in hospitals: Rapid Response Report - supporting information
Oxygen safety in hospitals: Rapid Response Report - supporting information - 153 KB 1124 C- Oxygen safety in hospitals - Rapid Response Report - supporting information - 2009.09.29 - v1
Oxygen safety in hospitals: Rapid Response Report - briefing for doctors and non medical prescribers
Oxygen safety in hospitals: Rapid Response Report - briefing for doctors and non medical prescribers - 42 KB 1124 B- Oxygen safety in hospitals - Rapid Response Report - 2009.09.29 - v2
Oxygen safety in hospitals: Rapid Response Report - briefing for nurses, midwives, AHPs
Oxygen safety in hospitals: Rapid Response Report - briefing for nurses, midwives, AHPs - 71 KB 1124 A - Oxygen safety in hospitals - Rapid Response Report - briefing for nurses, midwives, AHPs - 2009.09.29 - v1
Oxygen safety in hospital - Rapid Reponse Report - FAQs
Oxygen safety in hospital - Rapid Reponse Report - FAQs - 145 KB 1124D | RRR Oxygen safety in hospital - FAQs | 2009.12.16 | v1