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Evaluation of NPSA Rapid Response Reports

Researchers: Annette Lankshear and Karin Lowson (University of York)

Rapid Response Reports (RRR's) are a new brief form of alert now issued by the NPSA following the publication of Safety First (CMO, 2007).  The purpose of the study was to evaluate the impact of the first three of these publications which addressed the potential for confusion between different formulations of cytarabine (RRR1), and amphotericin (RRR2) and the need to ensure that on every site on which surgery is performed, robust arrangements are in place to cope with massive haemorrhage (RRR3).  We also sought to determine the views of key stakeholders on this new format in comparison with earlier outputs.  

In the ten Trusts visited we found that most of the action taken on the first two medication RRR's was confined to pharmacy and that the alerts had not been distributed within organisations.  We saw little evidence of activity in relation to the third RRR and no change in arrangements with local independent treatment centres.