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Warning issued over chest drain incidents

Concerns have been raised over a number of incidents that have led to patient harm, prompting the publication of a National safety alert.

A review of the National Reporting and Learning System (NRLS) over a recent three-year period identified 16 incidents where patients experienced acute and significant deterioration after uncontrolled or unmonitored drainage of a pleural effusion; two of these patients died and a cardiac arrest call was made for one patient although the outcome was not reported. The incident reports suggested:

  • Staff did not expect large quantities of pleural fluid to drain;

  • Observations and monitoring of patients after chest drain

    insertion were either not timely or not done;

  • Plans to manage the rate of fluid drainage were not

    documented or not followed.

Following these findings, a joint National Patient Safety Alert has been issued by the NHS England and NHS Improvement National Patient Safety Team, British Thoracic Society (BTS) and Association of Respiratory Nurse Specialists (ARNS), on the risk of deterioration due to rapid offload of pleural effusion fluid from chest drains.

Pleural effusions are the accumulation of fluid between the lung and chest wall, which may cause breathlessness, low oxygen saturation and can lead to collapsed lung(s). Large effusions, such as those caused by pleural malignancy, may require insertion of a chest drain and controlled drainage of fluid to allow the lung to inflate.

If large volumes of pleural fluid are drained too quickly, patients can rapidly deteriorate. Their blood pressure drops, and they can become increasingly breathless from the potentially life-threatening complication of re-expansion pulmonary oedema. The rate at which fluid is drained must be controlled in order to prevent cardiovascular instability and collapse.

The alert asks providers to review local chest drain clinical procedures to ensure they follow BTS and ARNS guidelines and standards; and to ensure clear instruction on frequency of observation, red flag triggers and local escalation procedures for patient deterioration are available to staff at the patient’s bedside.

Failure to take the actions required under any National Patient Safety Alert may lead to CQC taking regulatory action. Click here to access the safety alert.

 

 

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Upcoming Events

Central Sterilising Club - Annual Scientific Meeting 2024

Crowne Plaza at Gerrard’s Cross
15th April 2024 – 16th April 2024

DECON UK 2024

National Conference Centre, Birmingham
17th April 2024

Infection Prevention & Control

National Conference Centre, Birmingham
23rd - 24th April 2024

Theatres & Decontamination Conference 2024

Coventry Building Society Arena
16th May 2024

The AfPP Roadshow - Birmingham

Millennium Point, Birmingham
18th May 2024

The AfPP Roadshow - Exeter

University of Exeter
22nd June 2024

Access the latest issue of Clinical Services Journal on your mobile device together with an archive of back issues.

Download the FREE Clinical Services Journal app from your device's App store

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