Patient Safety Horizon Scanning Volume 2 Issue 3

April 4, 2011

Risk of adverse events including serious infections in rheumatoid arthritis patients treated with tocilizumab

April 4, 2011

Source: Rheumatology

Follow this link for abstract

Date of publication: March 2011

Publication type: Journal article

In a nutshell: This article looks at the results of a randomised control trial and a systematic review on whether using tocilizumab on patients with Rheumatoid Arthritis increases the risk of adverse events. 

Length of publication: 10 pages

Some important information:  Please contact your local NHS Library for the full text of the article.  Follow this link to find your local NHS Library.

Acknowledgement:National Electronic Library for Medicines (NeLM)


Treatment-Related Mortality With Bevacizumab in Cancer Patients

April 4, 2011

Source: JAMA

Follow this link for abstract

Date of publication: 02 February 2011

Publication type: Systematic review

In a nutshell:  This review incorporates a randomized control trial and to look at the risk of fatal adverse events associated with the use of Bevacizumab during chemotherapy.  The findings indicate that there is an increased likelihood of fatal adverse events for patients being treated with the drug. 

Length of publication: 7 web pages

Some important information:  Please contact your local NHS Library for the full text of the article.  Follow this link to find your local NHS Library.

Acknowledgement:National Electronic Library for Medicines (NELM)


Putting patient safety back at the heart of the NHS

April 4, 2011

Source: Department of Health

Follow this link for fulltext

Date of publication: February 2011 

Publication type: News Item

In a nutshell: The Department of Health has increased the list of ‘Never Events’ from 8 to 25.  The list now includes severe scalding; severe harm/death due to misidentifying patients and severe harm/death due to transferring the wrong blood type.  The Never Events List for 2011/2012 can be viewed by clicking here.

Length of publication: 1 web page


Safer Clinical Systems team shortlisted for a Patient Safety Award

April 4, 2011

Source: The Health Foundation

Follow this link for fulltext

Date of publication: February 2011

Publication type: News item

In a nutshell: This news item highlights the results, by one Trust, of the Safer Clinical Systems programme run by The Health Foundation.  The programme focusses on ensuring that all necessary and relevant information is added to patient records accurately and in a timely fashion.  The Trust, NHS Lothian in Scotland, found that by implementing the programme they were able to reduce inaccurate records by 80% in 18 months. 

Length of publication: 1 web page


Perioperative care in practice: A case study

April 4, 2011

Source: The Health Foundation

Follow this link for fulltext

Date of publication: March 2011

Publication type: Case Study

In a nutshell: This case study publishes the results of two hospitals, Causeway Hospital and Wrexham Maelor Hospital, who have implemented the ‘Safer Patient Initiative‘ in an attempt to improve monitoring of perioperiative procedures. 

Length of publication: 6 pages

Acknowledgement: NHS Evidence


Further dissemination

April 4, 2011

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