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NPSA (National Patient Safety Agency) news and analysis for nurses

David Prior North Norfolk Trust chair CQC preferred candidate

CQC seeks responsibility for patient safety

The Care Quality Commission would like to take over responsibility for patient safety in the health service, despite NHS England gaining responsibility for it as recently as April, it emerged yesterday.

Clock face

Early warning scores: effective use Subscription Required

A trust has lowered its mortality ratio by improving compliance in EWS monitoring

New role for top nurse patient safety expert

A leading nurse and patient safety expert is to join the NHS body responsible for managing negligence claims.

Patient holding chest x-ray board

How accurate are X-rays to check NG tube positioning? Subscription Required

The efficacy of using X-rays to determine whether or not nasogastric tubes are correctly positioned was measured using retrospective data.

Falls prevention

Most hospital safety incidents caused by 'slips, trips and falls'

More than 700 patients died as a result of a patient safety incident between October 2011 and March 2012, latest data reveals.

Falls prevention

Preventing and managing falls in a neurology unit

An inpatient neurological rehabilitation unit had a high incidence of falls so used the Patient Safety First campaign to address this issue.


CQC warning on safe use of pain control patches

Ongoing concerns about the use of fentanyl skin patches have been highlighted by a report on controlled drugs management.

Dehydration is a contributing factor for pressure ulcers

Developing a bundle to improve fluid management

Effective fluid management is seen nationally as an area of suboptimal practice. A bundle was developed by one trust to improve patient hydration in a range of settings.

Annual checks need considerable resources

Health checks for people with learning disabilities

This article explores the effectiveness of health checks for people with learning disabilities in identifying unmet health needs.

Nurse and patient

"See the big picture and stay vigilant over patient safety" Subscription Required

In 2004, a child died after being fed through a nasogastric tube that had been misplaced in her lungs.

Information gathering

Drug administration guides in dysphagia Subscription Required

People with dysphagia suffer more drug administration errors than the general population. Individualised guides were developed to boost nurses’ confidence and improve safety.

Gastrointestinal stomach

How do you check the position of a naso-gastric tube?

How do you check the position of a naso-gastric tube? What do you think?

A patient in hospital

Creating a protocol to reduce inpatient falls

Falls can result in death or injury. An acute hospital introduced pre-printed falls assessment care plans and supported nurse education to reduce fall rates

a patient eats in bed

Nurses should not take all the blame for poor nutrition

All health professionals should share responsibility for patient nutrition, rather than the blame falling solely on nursing, according to a leading patient safety nurse.


Medication errors in patients with dysphagia Subscription Required

A study examined whether medication errors were more common in acute hospital patients with dysphagia than those without, and the type and cause of such errors.

Hand wash

Do you need to wash your hands after removal of gloves?

Do you need to wash your hands after removal of gloves? What do you think?

NPSA issues nasogastric flushing warning

NPSA issues nasogastric flushing warning

The National Patient Safety Agency has repeated a warning on the risk of harm posed by flushing nasogastric tubes before confirmation of placement.

A nurse and patient

Changing practice for safe insulin administration Subscription Required

Errors in insulin administration are common and can cause harm and even death. An audit aimed to standardise insulin syringe storage and labelling to improve safety

A syringe

Preparing injectable medicines safely Subscription Required

Advice on minimising the risks to patients when preparing injectable medicines