What action it will take to improve patient safety for children when blood gas testing identifies abnormal results such as  significantly r…

Although there is no current specific guideline that requires blood tests with results outside the normal limits to be repeated in all cases before discharge from hospital, these are considered as part of a full clinical assessment.Healthcare Improvement Scotland’s Scottish Patient Safety Programme (SPSP) Perinatal and Paediatric programmes, underpinned by the SPSP Essentials of Safe Care, are co-designed to support improved outcomes for women, babies, children, young people and families in Scotland. These programmes work with staff and families to review and strengthen the approach to recognition of deterioration through the Scottish Maternity and Paediatric Early Warning Scores (MEWS and PEWS).The planned implementation of Martha’s Rule will enable a real-time clinical review of a patient’s treatment and condition, rather than a formal second opinion or diagnosis.The right to request a second opinion is already enshrined in the Charter of Patient Rights and Responsibilities.The Scottish Government and Health Boards across Scotland have recently committed to expand the Right Decision Service across health and care in Scotland. This will bring up to date, quality assured and approved guidance to clinicians on their computers, tablet and phones.The Scottish Government expects NHS Boards and other healthcare providers to use appropriate guidelines and respond to safety alerts as well as listen when patients express concerns or complain about the safety of their care.