Inadvertent administration of an oral liquid into a vein

From the investigation: Inadvertent administration of an oral liquid into a vein

Recommendation date:

Safety recommendation

It is recommended that NHS Improvement support the development of necessary knowledge, skills and capacity for the effective operationalisation of hazard identification and risk analysis at a national, regional and local level, as an integral part of the National Patient Safety Strategy.

Response:

I [Dr Aidan Fowler, National Director of Patient Safety] can confirm that, as part of the new NHS Patient Safety Strategy, we are working with Health Education England (HEE) and other partners to develop the first universal patient safety syllabus and training programme for the whole NHS. 

We intend for this to include aspects of hazard identification and risk analysis. The syllabus and associated training will be stratified to ensure that high quality patient safety training is available to staff at an appropriate level, from an introduction to patient safety for staff new to the NHS to specialist training modules for our proposed patient safety specialists and others who are interested. 

We will collaborate with HEE, regulators, other NHS organisations, and education providers through 2019/20 to build on existing curricula and syllabuses, including those developed with the Academy of Medical Royal Colleges and the WHO [World Health Organization].

Response received on 15 July 2019.

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