Safety alerts. National Patient Safety Agency: Combining stories with statistics to minimise harm

BMJ (Online)

Volumn 339, Issue 7731, 2009, Pages 1194-1195

  Lamont, Tara ^a   Scarpello, John ^a  

^a NATIONAL PATIENT SAFETY AGENCY   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

HYDROGEN PEROXIDE; MIDAZOLAM; HYPNOTIC SEDATIVE AGENT;

HEALTH CARE PERSONNEL; HEALTH CARE SYSTEM; HUMAN; MEDICAL PRACTICE; MEDICAL SOCIETY; PATIENT SAFETY; PRACTICE GUIDELINE; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; RISK ASSESSMENT; SHORT SURVEY; ARTICLE; DRUG INFORMATION; INTOXICATION; MEDICATION ERROR;

DRUG INFORMATION SERVICES; HUMANS; HYPNOTICS AND SEDATIVES; MEDICATION ERRORS; MIDAZOLAM; OVERDOSE; PRACTICE GUIDELINES AS TOPIC; RISK ASSESSMENT;

EID: 71249146786     PISSN: None     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.b4489     Document Type: Short Survey

References (12)

1. Lamont T, Matthew L, Cousins D, Green J. Avoiding midazolam overdose: summary of a safety report from the National Patient Safety Agency. BMJ 2009;339:b4459.[Free Full Text]
2. National Patient Safety Agency. Rapid response report: reducing risks of overdose with midazolam injection in adults. 2008. www.nrls.npsa.nhs.uk/ resources/?entryid45=59896
3. Department of Health. Safety first: a report for patients, clinicians and healthcare managers. 2006. www.dh.gov.uk/en/Publicationsandstatistics/ Publications/PublicationsPolicyAndGuidance/DH-062848.
4. Panesar SS, Cleary K, Sheikh A. Reflections on the National Patient Safety Agency's database of medical errors. R Soc Med 2009;102:256-258[CrossRef]
5. John Hubley's faith in the NHS. 2009. http://news.bbc.co.uk/panorama/hi/ front-page/newsid-8212000/8212960.stm.
6. National Patient Safety Agency. Acting on serious risks to patients. 2009. www.nrls.npsa.nhs.uk/resources/?entryid45=61516.
7. Reason J. Human error. Cambridge University Press, 1990.
8. O'Dowd A. NHS patient safety incidents rise by 12% in six months, as reporting culture grows. BMJ 2009;339:b4153.[Free Full Text]
9. Sari AB-A, Sheldon TA, Cracknell A, Turnbull A. Sensitivity of routine systems for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. BMJ 2007;334:79-82. [Abstract/Free Full Text] (Pubitemid 46122239)
10. National Patient Safety Agency. Rapid response report: preventing delay to follow up for patients with glaucoma. 2009. www.nrls.npsa.nhs.uk/resources/? entryid45=61908.
11. Newman T. The power of stories over statistics. BMJ 2003;327:1424- 1427[Free Full Text]
12. Vincent C. Incident reporting and patient safety. BMJ 2007;334:51.[Free Full Text]