Patient Safety Horizon Scanning Volume 2 Issue 9

November 3, 2011

Call for clarity over replacement for patient safety organisation

November 3, 2011

Source:  Nurs Stand. 2011 Aug 24-30;25(51):11

Follow this link for abstract

Date of publication: August 2011

Publication type:  News item

In a nutshell:  The government is being asked to clarify who will carry out the National Patient Safety Agency’s work after the body is axed. There is a proposal in the Health and Social Care Bill to abolish the agency next year. The NHS Commissioning Board would take responsibility for reporting and learning from patient safety incidents in England.

Length of publication:  1 web page

Some important notes:  This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library


Triage and patient safety in emergency departments

November 3, 2011

Source:  BMJ News and Articles

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Date of publication: October 2011

Publication type:  Editorial

In a nutshell:  This editorial discusses overcrowding and the requirement for re-engineering triage models and the patient flow process. There are increased expectations of a 24/7 medical service. Patient safety is put at risk by some new changes.

Length of publication:  1 web page

Some important notes:  This article is available in full text to all NHS Staff using Athens, for more information about accessing full text follow this link to find your local NHS Library


Rapid deterioration with patients with Systemic Lupus Erythematosus: Signal

November 3, 2011

Source:  National Patient Safety Agency  Reference number: 1324

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Date of publication: September 2011

Publication type:  Alert

In a nutshell:  This alert is was of 8 which were recently released from the NPSA.  It was created to highlight the dangers to patients suffering from rare condition of Systemic Lupus Erythematosus (SLE), which includes rapid deterioration. 

Length of publication:  1 web page

Some important notes:  A list of all 8 alerts are available on the NPSA website


Digital doctors’ notes improve patient safety at Havering hospital

November 3, 2011

Source: Romford Recorder

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Date of publication: October 2011

Publication type: News item

In a nutshell: This news item looks at the innovative new system used at Havering’s hospital trust which recently won a national award for patient safety.  The eHandover system was introduced a year ago to increase the smooth running of handovers and ensure that all the necessary information was communicated.

Length of publication: 1 web page

Acknowledgement: Romford Recorder


Risk of harm from acupuncture treatment including pneumothorax: Signal

November 3, 2011

Source:  National Patient Safety Agency  Reference number: 1324

Follow this link for fulltext

Date of publication: September 2011

Publication type:  Alert

In a nutshell:  This alert is was of 8 which were recently released from the NPSA.  It was created to highlight the risks involved with acupuncture, including pneumothorax, needles being left in the patient following treatment, and a lack of clarity regarding the correct emergency procedures to use.    

Length of publication:  1 web page

Some important notes:  A list of all 8 alerts are available on the NPSA website


Further dissemination

November 3, 2011

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