Safer modification of food and drink

In June 2018, NHS improvement, the British Dietetic Association and the Royal College of Speech and Language therapists issued a Patient Safety Alert regarding the use of food thickening (or texture modifying) products for people with swallowing difficulties (dysphagia). There have been a number of incidents reported to the National Reporting and Learning System (NRLS) … Continue reading Safer modification of food and drink

Valproate safety

Valproate medicines are used in the treatment of epilepsy, bipolar disorder and occasionally to prevent migraine headaches. If taken during pregnancy, there is a significant risk that babies may be born with birth defects. Women and girls using valproate medicines must now be protected by a Pregnancy Prevention Programme, which brings valproate in line with other … Continue reading Valproate safety

Williams Review

The Secretary of State for Health and Social Care announced on 6 February 2018 that he was asking Professor Sir Norman Williams to conduct a rapid policy review into the issues pertaining to gross negligence manslaughter in healthcare. Working with stakeholders, the Review considered: how to ensure healthcare professionals are adequately informed about: where and … Continue reading Williams Review

Safer delivery of medicines

Most community pharmacies already offer secure medication delivery services to patients in their homes, especially for older or more vulnerable patients. As many pharmacies have reported significant increases in requests for these services from patients and their families, the community pharmacy Patient Safety Group felt that this was an important focus area for improvement across … Continue reading Safer delivery of medicines

Safeguarding vulnerable adults and children

The Patient Safety Group has sought to better understand and to clarify the role of community pharmacists and their teams in safeguarding vulnerable adults and children. A detailed briefing has been developed which sets out a series of practice principles for community pharmacies to use in setting their own internal polices and procedures. Read the briefing … Continue reading Safeguarding vulnerable adults and children

Liquid preparations and calculations

The Community Pharmacy Patient Safety Group has looked at how making small practice changes in community pharmacies could help to minimise some of the risks of dispensing incidents involving liquid preparations (often for babies, children and vulnerable adults). Following analysis of data from 6,796 pharmacies, it was found that around 60 dispensing incidents involving ranitidine liquid for … Continue reading Liquid preparations and calculations