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Search results for "open book"

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April Falls update 2017

NEWS: 3 Apr 2017, Reducing Harm from Falls

An update on April Falls, a national initiative to promote falls reduction in health care settings.

Open Book: Lessons learnt from reviewing patient falls (March 2017)

PUBLICATION: 29 Mar 2017, Adverse Events

Falls are one of the most common causes of injury to patients in hospital. This Open Book was written in collaboration with the Health Quality & Safety Commission’s Reducing Harm from Falls programme. It summarises four falls events, review findings and r

Open Book: Incorrect assembly of surgical equipment (June 2016)

PUBLICATION: 30 Jun 2016, Adverse Events

This report alerts providers to key findings and actions following review of two incidents in different organisations where surgical equipment was assembled incorrectly resulting in patient harm in the operating theatre.

Open Book: Transmission of 'super-bug' in hospital (May 2016)

PUBLICATION: 20 May 2016, Adverse Events

This report alerts providers to key findings and actions following review of an outbreak of a multi-drug resistant organism (MDRO) which affected five patients. The aim is to learn from the changes implemented after the event to prevent future similar eve

Open Book: CVC removal (July 2015)

PUBLICATION: 12 Aug 2015, Adverse Events

This Open Book report alerts providers to key findings of a recent review into central venous catheters (CVCs) for hospitalised patients.