NAMDET is already a key member of many stakeholder groups and committees and this section of the website has been reserved for new reports, early warnings about research and reviews of documents (both local and national) for all members. If you would like to contribute, or have any new items for this section please contact our website manager.
Computer and Human Interfaces with Medical Devices (CHIMED): Checkout their website at www.chi-med.ac.uk.
- ECLIPSE Project; Funded by the NIHR (National Institute for Healthcare Research), the ECLIPSE (Exploring the Current Landscape of Intravenous Infusion Practices and Safety Errors) If you have any further questions, please email Jo Iacovides (email@example.com). NAMDET’s John Byrne also sits as an Advisory Board member of the project
- Infusion pump designed for safety (NPSA booklet): Launched by NPSA to help designers and manufacturers focus on design, development and user interaction/errors with infusion pumps.
- CHIMED newsletter (no. 8)
- Guidelines for number entry interface – Take care entering infusion rates or VTBI – Examples of Infusion device design errors
- Personas and scenarios (infusion devices) – Who uses the pumps and where are they used
- Infusion pump standards guide – The guide will outline the use of standards during medical device development and provide examples of the application of standards associated with medical device design (infusion pumps).
ECLIPSE (Exploring the Current Landscape of Intravenous Infusion Practices & Errors) is a research project funded by NIHR (2014-2017) studying medication practices with infusion devices, to document the variety of existing practices and deliver recommendations for best practice in different situations.
There are various studies of the intravenous administration of drugs in hospitals; these suggest that errors often occur in the preparation and administration of these drugs. Depending on the methods used and what is counted as an “error”, published error rates vary from 18% of doses to 173% of doses (error rates of more than 100% are sometimes quoted where studies count more than one error per dose). Many of these errors are very minor and unlikely to affect the patient. However, others can lead to patient harm.
Within the USA, “smart” infusion pumps are used in most hospitals with the aim of preventing such errors. These pumps need more information from hospital staff (such as details of the medication and its concentration, the patient’s weight, etc.); they then alert the user to unusual infusion rates based on those values. Some US research suggests that smart pumps can prevent a significant proportion of errors; other research suggests they have little effect. Smart pump use is much less common in England – only a handful of hospitals use them. There are no UK studies of their likely effects on medication errors, and practices in relation to prescribing and administering intravenous medication are different to those in the USA. There is therefore little information available to guide UK hospital staff in deciding how best to prevent errors involving the administration of intravenous medication, and whether or not the costs of smart pumps would be justified by any impact on error reduction.
Our study aims to fill these gaps in knowledge. We will explore how often errors involving administration of intravenous medication occur in UK hospitals, the reasons for these errors, and how they may be linked to, or prevented by, the infusion pumps used. We will compare our results with a similar study of the types and frequency of intravenous medication administration errors ongoing in the US, and explore reasons for any differences identified.
ECLIPSE NEWSLETTER UPDATES
- NAMDET are also a signed up stakeholder for contributing to documents and reports generated by NICE. Please checkout the NICE website (http://www.nice.org.uk/get-involved) to see how you can contribute towards the development of new guidelines and feed this back through your regional NAMDET meetings.
- The Medicines and Healthcare Products Regulatory Agency (visit their website) protect and improve the health of millions of people every day through the effective regulation of medicines and medical devices, underpinned by science and research.
- The Medical Device Driving Licence (weblink; MDDL) is provided by the Medicines and Healthcare products Regulatory Agency (MHRA) to help Medical Device users to assess and record aspects of safe device usage. Succesful completion of assessments does not mean that you are automatically safe to use a device or group of devices. It remains your responsibility to ensure that you have had the appropriate training
- We have developed a number of modules that provide training to support the driving licence assessments. These modules are available to use for free on the MHRA website and cover topics related to our work and where we know there are reported incidents. E-learning modules include;
- Devices In Practice
- Basic Observations
- Anaesthetic Machines
- The Operating Table
NHS Improvement (Patient Safety)
This is the new website for Medical Device Safety Officers (MDSO) in the UK. Th team from NHS Improvement are on line with monthly webinars, feedback sessions and up to date presentations of interest to all those involved in medical device safety, training and management. Alerts and patient safety initiatives can be accessed from here.
The NHSLA are a not-for-profit part of the NHS. They manage negligence and other claims against the NHS in England on behalf of member organisations.
- They help to resolve disputes fairly
- They share learning about risks and standards in the NHS
They help to improve safety for patients and staff
|Acute Trust||Community Health Services|
|Diathermy Equipment||Cryosurgical Unit|
|Infusion Pump||Syringe Pump|
|Neo Nate Incubator||Diathermy Equipment|
|Surgical Laser||Aaesthetic UnitT (Dental)|
|Syringe Pump||Infusion Pump|
|Hoist||Pressure Ripple Mattress|
|Harmonic Scalpel||Ear Syringe|
NHS England is increasing transparency in the NHS and improving services for patients. They work with NHS staff, patients, stakeholders and the public to improve the health outcomes for people in England.
In January 2014 the new National Patient Safety Alerting System (NPSAS) was launched to strengthen the rapid dissemination of urgent patient safety alerts to healthcare providers via the Central Alerting System (CAS). This three-stage alerting system also provides useful educational and implementation resources to support providers to put appropriate measures in place to prevent harm and encourage and share best practice in patient safety.
The system builds on the strengths of the previous National Patient Safety Agency (NPSA) patient safety alerts and rapid response reports and is based on systems used in other high risk industries.
NHS England Statistics
This link allows an individual to check statistics and and changes for specific areas of health care that would directly affect them.
This Link is an infographic that shows, in simple terms, an overview of the current state of the NHS that is continuously updated
Other Useful links
- BAREMA British Association of Anaesthetic and Respiratory Device Suppliers
- ECRI Institute
- IPEM Institute of Physics and Engineering in Medicine
- Clinical Services Journal
- World Health Organisation
- National Association of Equipment Providers NAEP
- National Performance Advisory Group (NPAG)
- Healthcare Skills International