Medical Product Allergen Labelling
Unclear labelling, inconsistent nomenclature, and insufficient research regarding allergens in medical products.
97 items
8 sources
1 inquiry
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
PFD report
93match
Andrew Cook
Concerns involve potential under-reporting of PEG allergy, insufficient research into its effects, and the lack of clear labelling on medical products regarding PEG's presence, dose, and various synonyms.
Matched on
terms: labelling, medical, product
PFD report
73match
Stephen Myers
A product containing isopropyl nitrite, misused by inhalation, has inadequate labelling that fails to comply with current safety regulations (CLP) regarding hazards and warnings.
Matched on
terms: labelling, product
PFD report
65match
Angela Kearn
Medical profession lacks awareness of Immersion Pulmonary Oedema. Full face snorkel masks have inadequate safety standards and insufficient public warnings regarding risks for users with cardiovascular/respiratory conditions.
Matched on
terms: medical
PFD report
61match
Patricia Mellor
Despite detailed recommendations from a hospital regarding Long QT Syndrome and drug-related cardiac arrest risks during anaesthesia, regulatory bodies (MHRA, NICE) have failed to update guidelines and product warnings.
Matched on
terms: product
PFD report
61match
Raymond Woodward
The risk of adverse cardiovascular reactions to Buscopan, especially in patients with ischaemic heart disease, is not widely known, and the Summary of Product Characteristics (SPC) for intravenous Buscopan could be more specific regarding this risk.
Matched on
terms: product
PFD report
61match
Celia Marsh
The investigation of suspected anaphylaxis deaths is hampered by outdated pathology guidance, poor sample retention, delayed reporting, and insufficient education for medical staff and high-risk patients. There's also a lack of robust systems to capture anaphylaxis cases.
Matched on
terms: medical
PFD report
57match
Jackie Scott
Lack of clear allergen information meant the deceased unknowingly consumed peanuts in a take-away meal, resulting in a fatal anaphylactic shock.
Matched on
terms: allergen
PFD report
57match
Rubana Pathan
Medical professionals and implant manufacturers lack awareness that a rare toxin causing sepsis can suppress typical inflammation signs, potentially delaying diagnosis and treatment for patients with breast implants.
Matched on
terms: medical
PFD report
57match
Christopher Holyoake
E45 cream, a highly flammable paraffin-based product, lacked fire hazard warnings on its packaging and prescription, leading to a dangerous lack of awareness among carers and the deceased.
Matched on
terms: product
PFD report
57match
Jonathan Weatherley
Recall notices for the products were inadequate, failing to highlight all known problems and affected items, necessitating a comprehensive, widely distributed new recall.
Matched on
terms: product
PFD report
57match
Grace Roseman
Crib manufacturer failed to fully address the risk of death from an un-modified crib design, leaving a large number of potentially unsafe products in circulation with unaware customers.
Matched on
terms: product
PFD report
57match
Natasha Ednan-Laperouse
Allergens were not adequately labelled on Pret-a-Manger packaging, and there was no coordinated system for monitoring customer allergic reactions. Additionally, the needle length and adrenaline dose of Epipens may be inadequate for treating anaphylactic reactions.
Matched on
terms: allergen
PFD report
57match
Ronald Clark
Stents supplied in identical packaging with only small labels pose a risk of using incorrect sizes during medical procedures.
Matched on
terms: medical
PFD report
57match
Owen Carey
The restaurant's allergen training was inadequate, notices on menus lacked prominence to trigger discussions, and menus failed to clearly state key allergen information, creating false reassurance for customers.
Matched on
terms: allergen
PFD report
53match
Patricia Thomas
A significant lack of awareness among health professionals regarding the dangerous interaction between Miconazole Gel and Warfarin, combined with unclear information resources, risks uncontrolled bleeding.
Matched on
classifier match
PFD report
49match
Victoria Meppen-Walter
Concerns were raised regarding the easy online availability and regulation of chloroquine, along with the associated risks of its misuse.
Matched on
classifier match
PFD report
49match
Tiya Chauhan
Childcare settings and parents are unaware of the choking risks posed by raw jelly cubes, with packets lacking adequate warnings and supervision during play being insufficient.
Matched on
classifier match
PFD report
49match
Steven Curtis
There are safety concerns regarding Maplin N19KJ telescopic ladders, with 43,000 sold, warranting investigation into a potential catastrophic failure and the origin of the accident ladder.
Matched on
classifier match
PFD report
49match
Irene Pearson
Matrifen patch warnings about hot baths are obscure and vague, and dangerous advice was given to use baths for patch removal. Poor liaison on opiate prescribing and unclear, scanty GP electronic notes contributed to unsafe care.
Matched on
classifier match
PFD report
49match
Samantha Hopkins
Critical trial exclusions, such as for pregnant women, were overlooked due to insufficient prominence on drug packet warnings and lack of guidance for highlighting these exclusions.
Matched on
classifier match
PFD report
49match
Dildar Shariff
There is a critical lack of national awareness and NICE guideline inclusion regarding the increased haemorrhage risk in haemodialysis or uremia patients, potentially leading to future deaths.
Matched on
classifier match
PFD report
49match
Pauline Taylor
Emollient creams with paraffin pose an unrecognised fire hazard due to inadequate warnings and lack of awareness, alongside insufficient patient risk assessments.
Matched on
classifier match
PFD report
49match
Christina Fletcher
A lack of clear regulatory guidance on 'red flag' systems for pharmacies to identify patients with similar details and inconsistent chain of custody protocols for controlled drugs pose risks.
Matched on
classifier match
PFD report
49match
Katherine Stamp
The serious side effects of clozapine, particularly regarding smoking and pneumonia, are under-appreciated by prescribers and not sufficiently detailed in national guidance.
Matched on
classifier match
PHSO casework decision
48match
P-003990 - Medicines and Healthcare products Regulatory Agency (MHRA)
Mrs C says Medicines and Healthcare products Regulatory Agency (MHRA) did not act in line with its applicable policies/standards when it made its decision to change the policy on sodium valproate.
Matched on
terms: product
Committee recommendation
47match
#65 - Lack of NHS access to cannabis-based medicinal products for patients.
We support cannabis-based products for medicinal use (CBPMs) where there is an evidence base that it can be an effective form of treatment for managing conditions or symptoms. We welcome the ACMD conducting a further assessment of CBPMs following on from its 2020 report. However, we are concerned that there is currently a lack of access on the...
Matched on
terms: medical, product
PFD report
45match
William Andrews
Surgical equipment design flaws, including the lack of a brightly coloured detachable cap on a bulb syringe, led to a retained tip. A national safety recommendation for such caps was ignored, and no cap counting procedure exists.
Matched on
classifier match
PFD report
45match
Leo Deady
A significant proportion of breech presentations go undiagnosed nationally, yet there are no national guidelines for routine late-pregnancy scans to detect them, despite high risks.
Matched on
classifier match
PFD report
45match
John James Jackson
The coroner notes a lack of readily available information about the dangers of consuming large quantities of caffeine, particularly from 'Hero Energy Mints', which are advertised as an alternative to energy drinks.
Matched on
classifier match
PFD report
45match
Dafydd Watts
Drug literature and the British National Formulary fail to adequately inform physicians about rare but potential fatal occurrences associated with medication.
Matched on
classifier match
PFD report
45match
Archie Hames
The combined use of a specific tracheostomy tube and a particular Velcro strap attachment compromised the tube's integrity, likely causing detachment and posing risks with similar devices.
Matched on
classifier match
PFD report
45match
George Stone
National guidelines for antidepressant warnings, specifically for Venlafaxine, fail to include the rare but severe risk of seizures, potentially leaving patients uninformed about a critical side effect.
Matched on
classifier match
PFD report
45match
James Fyfe
The cot side on a trolley could remain in an unlocked position due to design and maintenance issues, which were not clearly highlighted. The MHRA failed to escalate this known hazard to other hospital trusts.
Matched on
classifier match
PFD report
45match
Annette Charlton
Pharmaceutical manufacturers are producing medications in almost identical packaging, which significantly increases the risk of dispensing errors and poses a serious threat to patient safety.
Matched on
classifier match
PFD report
45match
Brian Marks
PEJ and PEG tubes are easily confused due to their similar appearance, highlighting the lack of a simple colour-coding system for differentiation.
Matched on
classifier match
PFD report
45match
Dilys Jenkins
Tracheostomy tube manufacturers may not be keeping pace with population changes, leading to tubes of potentially inappropriate length which could increase dislodgement risk.
Matched on
classifier match
PFD report
45match
Nadine Brookes-Walker
Packaging for Fentanyl patches may not adequately convey the severe risks associated with using damaged patches, potentially leading to patient misuse.
Matched on
classifier match
PFD report
45match
Kathryn Bull
Death was caused by hyperammonaemia syndrome, a rare and poorly understood adverse consequence of gastric bypass surgery, with symptoms that are not well known.
Matched on
classifier match
PFD report
45match
Zane Gbangbola
Inadequate and misleading safety guidance for internal combustion engine equipment used in confined spaces, coupled with the misleading use of the HSE logo, increases the risk of harm.
Matched on
classifier match
PFD report
45match
Marjorie Bassendine
Failure to recognise the cardiac risks of multiple psychotropic medications led to a lack of pre-treatment and regular ECGs to monitor for potential QT interval prolongation.
Matched on
classifier match
PFD report
45match
Margaret Clark
A change to new TOE probe sheaths (Ecolab) was linked to multiple fatal oesophageal tears, and these potentially unsafe sheaths may still be in use in other hospitals despite safer alternatives existing.
Matched on
classifier match
PFD report
45match
Michael Spencer
A specific drug (Andexanet alfa) to reverse potentially fatal bleeding caused by Factor Xa inhibitor anticoagulants is not available in the UK, even for compassionate use.
Matched on
classifier match
PFD report
45match
Venkata Kagga
Critical safety features for button batteries in household devices are lacking, and national safety alerts are not effectively sustained. Hospital policies for paediatric assessment and compliance were not followed, exacerbated by poor information sharing across services.
Matched on
classifier match
PFD report
45match
Stephen Whitehead
The absence of a national registry for biliary stents creates a risk of "forgotten stents," while national guidelines lack a clear definition of "short-term" use.
Matched on
classifier match
PFD report
45match
Victor Hall
Ambiguous medication packaging contributed to an error, which the MHRA failed to address. There's a need for enhanced guidance and training for nursing and pharmacy staff on thorough medication checks and documentation at all stages.
Matched on
classifier match
PFD report
45match
Maureen Waterfall
There is no licensed antidote for Edoxaban anticoagulant, increasing risks for head injury patients. Concerns were raised about the lack of national guidance on antidote administration targets and storage, especially for non-tertiary hospitals.
Matched on
classifier match
PFD report
45match
Mary Nelson
Dangerous fluoxetine accumulation suggests a need to revise dosage guidance, especially for the elderly, and consider in-life drug testing. This death was also not reported to the Yellow Card system.
Matched on
classifier match
PFD report
45match
Alana Cutland
The drug information leaflet for doxycycline failed to highlight the possibility of a psychotic reaction, which the deceased experienced, hindering early intervention by her family.
Matched on
classifier match
PFD report
45match
Samuel Morgan
Patient information leaflets for SSRIs lack immediate, high-impact warnings, such as a "Black Box Warning," to clearly highlight the increased risk of suicidal thinking in young adults.
Matched on
classifier match
PFD report
45match
Samantha Singh
A patient's RAST test results were wrongly categorised as normal, leading to delayed action. Subsequently, only one EpiPen was prescribed against NICE guidance, and no allergy clinic referral or follow-up was offered.
Matched on
classifier match