Patient safety alert – Risk of death and serious harm by falling from hoists

November 25, 2015

Source: NHS England

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Date of publication: October 2015

Publication type: Safety alert

In a nutshell:  A joint patient safety alert has been issued by NHS England and the Medicines & Healthcare products Regulatory Agency (MHRA) to highlight the risk of falls from hoists.  A National Reporting and Learning System (NRLS) search identified that there have been 15 incidents in a recent four year period where a person has come to harm through falls from hoists, including one death and three severe injuries.  Providers of NHS funded care have been asked to raise awareness of the risk amongst staff and to ensure they have an action plan underway to reduce the risk of these incidents occurring.

Length of Publication: 1 webpage


Transfusion and hemovigilance in pediatrics

February 26, 2014

Source:  Pediatric Clinics of North America 60/6 pp. 1527-1540

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Date of publication:  December 2013

Publication type:  Journal article

In a nutshell:  Hemovigilance is an essential part of the transfusion process. It covers the whole transfusion chain. The UK surveillance scheme demonstrates how information on adverse incidents can be used to improve patient safety, influencing the management of donors and improved education and training for the many people involved in the transfusion process. The scheme has collected data for 16 years.

Length of Publication:  14 pages

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


Using adverse events in health-care quality improvement: results from a British acute hospital

August 28, 2010

Source: International Journal of Health Care Quality Assurance Vol 8 Iss 1 pp7-14

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Date of publication: August 2010

Publication type: Article

In a nutshell: This article looks at the results of the Ophthalmology department of a British acute hospital in adverse event monitoring as a problem-oriented approach during clinical audits.  The results focus on whether there are significant improvements in patient care due to the new approach.

Length of publication: 7 pages

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