Support Alert

NHS Improvement Patient Safety Alert: Risk of death and severe harm from failure to obtain and continue flow from oxygen cylinders

NHS Improvement has issued a Patient Safety Alert: Risk of death and severe harm from failure to obtain and continue flow from oxygen cylinders. The design of oxygen cylinders has changed over recent years with the intention to make them safer to use. An unintended consequence of these changes is that patient safety incidents have occurred where staff believed oxygen was flowing when it was not, and/or they have been unable to turn on the oxygen flow in an emergency.

Further details of the alert and action to take are available .

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