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Published on 19 December 2025
Contents
National Patient Safety Alerts
NatPSA/2025/008/NHSPS, Risk associated with adult breathing circuits lacking a patent exhalation route, issued 11 December 2025.
NatPSA/2025/006/NHSPS, Harm from incorrect recording of a penicillin allergy as a penicillamine allergy, issued 20 November 2025.
NatPSA/2024/002/NHSPS, Transition to NRFit™ connectors for intrathecal and epidural procedures, and delivery of regional blocks, issued 31 Jan 2024.
NatPSA/2023/010/MHRA, Medical beds, trolleys, bed rails, bed grab handles and lateral turning devices: risk of death from entrapment or falls, issued 30 Aug 2023.
NatPSA/2023/005/MHRA, Removal of Philips Health Systems V60 and V60 Plus ventilators from service – potential unexpected shutdown leading to complete loss of ventilation, issued 18 May 2023.
NatPSA/2023/003/MHRA, NIDEK EyeCee One preloaded and EyeCee One Crystal preloaded Intraocular Lenses (IOLs): risk of increased intraocular pressure, issued 31 Jan 2023.
NatPSA/2023/001/NHSPS, Use of oxygen cylinders where patients do not have access to medical gas pipeline systems, issued 11 Jan 2023.
NatPSA/2022/002/MHRA, Philips Health Systems V60, V60 Plus and V680 ventilators – potential unexpected shutdown leading to complete loss of ventilation, issued 29 Mar 2022.
NatPSA/2021/010/UKHSA, The safe use of ultrasound gel to reduce infection risk, issued 11th Nov 2021.
NatPSA/2021/009/NHSPS, Infection risk when using FFP3 respirators with valves or Powered Air Purifying Respirators (PAPRs) during surgical and invasive procedures, issued 25 Aug 2021.
NatPSA/2021/005/MHRA, Philips ventilator, CPAP and BiPAP devices: Potential for patient harm due to inhalation of particles and volatile organic compounds, issued 23 Jun 2021.
NatPSA/2021/003/NHSPS, Eliminating the risk of inadvertent connection to medical air via a flowmeter, issued 16 Jun 2021.
NatPSA/2021/001/MHRA, Supply disruption of sterile infusion sets and connectors manufactured by Becton Dickinson (BD), issued 11 Mar 2021
NatPSA/2020/007/MHRA, Philips Respironics V60 ventilator - unexpected shutdown, issued on 23 Sep 2020.