NHS Improvement have issued another alert (Stage 3) around safety of air and oxygen flowmeters and risk of misconnection. This reports raises again the importance of checking, testing, and ensuring the right device is in the right place at the right time. Systems to help reduce these fatal errors are also suggested.
Please check with your organisation to see how you are tackling this alert, and feel free to share your resources, experiences via a new NAMDET forum that has been set up on the website for all members.
web team @ namdet