Medical beds, trolleys, bed rails, bed grab handles and lateral turning devices: risk of death from entrapment or falls
18 deaths and 54 serious injuries 2018-2022. Update policies, train staff, ensure risk assessments for all bed rail patients.
National Patient Safety Alerts recorded as open for this trust after their completion deadline had passed, drawn from the MHRA Central Alerting System compliance report of 2 September 2026. That report names only organisations past a deadline, so it records neither compliance nor the position since that snapshot.
18 deaths and 54 serious injuries 2018-2022. Update policies, train staff, ensure risk assessments for all bed rail patients.
Replace Luer connectors with NRFit for intrathecal/epidural procedures to prevent fatal wrong-route administration.
Develop local guidance for assembling breathing circuits, implement staff training on safety checks.
Data from the MHRA Central Alerting System compliance report of 2 September 2026, which lists alerts that had passed their completion deadline and remained open at that date. The Central Alerting System does not publish a list of compliant organisations, and the report says nothing about the position since that snapshot.