Patient safety alert – Support to minimise the risk of distress and death from inappropriate doses of naloxone

November 25, 2015

Source:  NHS England

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Date of publication: October 2015

Publication type: Safety alert

In a nutshell: A patient safety alert has been issued by NHS England to support providers of NHS funded care to minimise the risk of distress and death caused by inappropriate doses of naloxone.  The new ‘Stage 2: Resource’ alert highlights a number of resources now available to help providers ensure their local protocols and training related to naloxone reflect best practice.

Length of Publication: 1 webpage

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Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration

November 25, 2015

Source: International Journal of Pharmacy Practice 23/5 pp. 327-332

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Date of publication: October 2015

Publication type:  Journal article

In a nutshell: The potential harm from omitted and delayed medicines for hospital inpatients was highlighted by the National Patient Safety Agency (NPSA). This study aimed to assess the impact on omitted doses when medicine administration was supported by pharmacy assistants (PAs).  The authors concluded that PA-supported medication rounds can significantly reduce the rate of omitted doses. This study provides evidence for a potential solution to the problem of omitted doses for hospital inpatients.

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


Medication errors fall after patients are given bar codes to match their drugs

June 7, 2010

SourceNew England Journal of Medicine, 2010;362:1698-1707

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Date of publication:  May 6 2010

Publication type:   Journal article

In a nutshell: This research suggests that barcoding patients and drugs, so they can be matched up, will result in a reduction of medical errors. 

Length of publication:  10 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.