Displaying 101 - 110 of 113 results
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Open Book: Learning Review (March 2021)This Open Book introduces the Learning Review, a process originally developed in the United States Forest Service.
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Open Book: Hypoxic cardiac arrest during attempted percutaneous tracheostomyThis report alerts providers of the risk of hypoxic cardiac arrest during percutaneous tracheostomy. The aim is to learn from the event and establish a standard operating procedure to prevent future similar events.
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Open Book: Extravasation injury during surgeryThis Open Book alerts providers to the key findings of a recent review of an incident where a patient suffered an extravasation injury that required skin grafts to repair.
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ALERT 12: HeparinPurpose: To highlight the risks for patients on heparin and to promote safer practice.
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ALERT 14: Oral Methotrexate - once weekly dosingThis alert highlights that patient harm and death have occurred when the weekly dosing schedule of methotrexate is inadvertently prescribed, dispensed or administered as an incorrect daily dose.
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Metoprolol oral administration - draft alertThe Medication Safety Expert Advisory Group is developing a full alert following release of a safety signal issued in October 2012 on oral metoprolol administration.
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Pressure injury measurement frequently asked questionsFrequently asked questions about the Commission's pressure injury measurement project.
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Trauma programme project plan: Critical haemorrhageThis project plan sets out the aim, rationale, objectives and approach for the critical haemorrhage project which seeks to reduce mortality and complications in critically haemorrhaging trauma patients.
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Major trauma rehabilitation quality improvement programme: National collaborative 2021 guidelines and application formThis document includes guidance on and an application form for the trauma rehabilitation national collaborative 2021.
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Trauma programme project plan: Major trauma rehabilitationThis project plan explains key aspects of the trauma rehabilitation project, such as the aim, rationale, objectives, scope and approach. It outlines the associated resources and timeframe estimates and the key deliverables.