Patient safety - submit page requirements - St George's University Hospitals NHS Foundation Trust

Fill out the following form to request a patient safety page on the intranet.

Name*

Email*

Telephone Number

Job Title*

What is your patient safety area?*

Anticoagulation and Thrombosis
Bereavement and Mortuary
Clinical Governance
Dementia and Delirium
Deteriorating Patients
DOLS
Domestic violence
End of Life Care
Falls Prevention
Health & Safety
Infection revention and Control
Learning Disabilities
Learning from Incidents
MCA, DoLS, LD
Medical Equipment
Medical Physics (Safety & IRMER)
Medicines alerts
Moving and Handling
MRI Safety
NatSSIPS/LocSSIPS
Nutrition and Dietetics
Nutrition and Hydration
Pain Management
Patient Information
Patient Safety Alerts
Promoting Continence
Safeguarding Adults
Safeguarding Children
Sepsis
Smoking Cessation
Tissue Viability Service
Treatment Escalation Plans

If not listed above please add your patient safety area

When considering your service's page(s), will you use any of the following components? - Please select all that apply*

Please suggest some key words to assign to help the user search and find your page and content. Try to reflect how people think and the words they might use.

Do you have any additional requirements?

Each team will be responsible for creating their own pages on the intranet. Fill out the next question to nominate who will be trained to use the system to create your pages

Who will be trained to build and manage your pages?

Please add here any feedback or questions you have about this form

Patient safety – submit page requirements

Fill out the following form to request a patient safety page on the intranet.

Each team will be responsible for creating their own pages on the intranet. Fill out the next question to nominate who will be trained to use the system to create your pages

Patients and Visitors

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GP and Clinician Area