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National Patient Safety Alert – NatPSA-2021-003-NHSPS

Published on 18 June 2021

From: Health Facilities Scotland

NatPSA/2021/003/NHSPS - Eliminating the risk of inadvertent connection to medical air via a flowmeter.



Air flowmeters attached to piped medical air outlets are primarily used to drive the administration of nebulised medication. Due to the proximity of the piped medical air and oxygen outlets at the bedside, and the similarity in design of flowmeters, there is a significant risk that patients may be inadvertently connected to medical air instead of oxygen.