Useful Links and Patient Safety Publications
| Publications to support introduction of Safer Spinal Epidural and Regional Devices |
| There are a number of publications that describe the background information to the NPSA Alerts, and the NPSA has published detailed Newsletters to support implementation of the new connectors. |
| Department of Health Reports |
| External enquiry into the adverse events that occurred at Queen’s Medical Centre, Nottingham, 4th January 2001 by Professor Brian Toft pdf download » |
| Prevention of intrathecal medication errors: a report to the Chief Medical Officer by Professor Kent Woods pdf download » |
| Publications |
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NHSCB Newsletter 'Neuraxial Update' No. 5 February 2013 |
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NPSA Newsletter ‘Neuraxial Update’ No. 4 March 2012 |
| NPSA Newsletter ‘Neuraxial Update’ No. 3 October 2011 pdf download » |
| NPSA Safer spinal, epidural and regional devices: Supporting information January 2011 pdf download » |
| NPSA Newsletter ‘Neuraxial Update’ No. 2 January 2011 pdf download » |
| NPSA Newsletter ‘Neuraxial Update’ No.1 August 2010 pdf download » |
| NPSA Safer spinal, epidural and regional devices: Supporting information November 2009 pdf download » |
| NHS Pharmaceutical Aseptic Services Group reports |
| NHS Pharmaceutical Aseptic Services Group position statement regarding use of Safer-connecting Neuraxial Devices pdf download » |
| Publications in Anaesthesia |
| Editorial: Replacing Luer Connectors: still work in progress pdf download » |
| A simulation-based evaluation of two proposed alternatives to Luer devices for use in neuraxial anaesthesia pdf download » |
| A clinical evaluation of four non-Luer spinal needle and syringe systems pdf download » |
| World Health Organisation: Learning from Error – video and booklet |
| WHO Patient Safety Research - A guide for developing training programmes read more » |
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The World Health Organisation has produced an educational video and booklet ‘Learning from Error’ that focuses on drug errors, in particular incorrect administration of vincristine |
Other useful Links and Patient Safety Publications
COSHH - The Control of Substances Hazardous to Health Regulations 2002 define workplace exposure limits for some anaesthetic agents. Read more »
List of approved Workplace exposure limits (amended 2007): Download PDF »
Risky Business is a non-profit website that shares ideas on risk, human factors, teamwork and leadership, and hosts exceptional talks on managing risk and patient safety from world experts, including those in a wide array of high risk industries, business, sport, and exploration.
Barema is the Trade Association for suppliers of anaesthetic, respiratory and related products, and there are fifty companies in membership. A principle role of Barema is to work with users, Regulatory Authorities, Government departments and Standards bodies to continuously improve patient safety. Full listing of members are the devices they supply is available on website www.barema.org.uk
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The Health Foundation |
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The Health Foundation has published a new report 'The Measurement and monitoring of Safety' by Charles Vincent and colleagues from Imperial College London. The authors discuss all aspects of safety measurement and provide a propose a framework for healthcare organisations. The Health Foundation is seeking views on the report and how the proposed framework could help improve patent safety.
Research/evaluation report » |
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Helsinki declaration on patient safety in anaesthesiology |
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This declaration on patient safety in Europe was signed on June 13 2010 by the President of the European Society of Anaesthesiology, the President of the European Board of Anaesthesiology, and the Chairperson of the National Anaesthesia Societies Committee on behalf of ESA member societies. |
| Department of Health Publications |
| An organisation with a memory: report of an expert group on learning from adverse events in the NHS chaired by the Chief Medical Officer. 2000 pdf download » |
| The ‘Never Events’ list for 2011/12: policy framework for use in the NHS February 2011 pdf download » |
| “Never events” are defined as ‘serious, largely preventable patient safety incidents that should not occur if the available preventative measures have been implemented by healthcare providers’. Read the Department of Health Never Events’ list for 2011/12 and policy framework for use in the NHS. pdf download » |
| WHO Patient Safety |
| WHO Patient Safety has developed a range of training materials and tools to help individuals and organizations improve their understanding and knowledge of patient safety read more » |
| Multi-professional Patient Safety Curriculum Guide The WHO Patient Safety Team have released the new Multi-professional Patient Safety Curriculum Guide. Following the success of the WHO Patient Safety Curriculum Guide for Medical Schools, released in 2009, this Multi-professional edition promotes the need for patient safety education to improve the safety of care. The new comprehensive guide assists universities and schools in the fields of dentistry, medicine, midwifery, nursing and pharmacy to teach patient safety and focuses on a number of priority patient safety concepts to improve learning about patient safety. read more » |
