Author: patientsafe@icloud.com
Have other countries achieved standardisation and how did they go about doing this?
In 2004 the NHS U.K. sent out this safety alert. By 2006 the ‘Crash Call’ telephone number had been standardised. For more information on how the NHS achieved this please click on this link (see here). The whole of Europe is now trying to standardise to 2222 (see here). A recent […]
Police Investigate Blocked Anaesthetic Breathing Circuits
In 2002, 2 patient deaths and a cluster of other adverse events from blocked anaesthetic breathing circuits lead to a police investigation. Operation Orcadian was set up in part to exclude foul play. Several cases were caused by detachable caps from filters coming off and obstructing the breathing circuit. […]
Name & Role Theatre Caps
An increasing number of manufacturers supply name and role theatre hats. Please click on images below for the link: From ANZCA PS64 (Statement on Environmental Sustainability in Anaesthesia): Use of reusable surgical gowns, dedicated operating theatre footwear and freshly laundered lint free hats will reduce the amount of single use […]
Paint the World Red for Patient Safety
Does your hospital use poorly distinguishable pink chlorhexidine – it’s lead to the death & morbidity of numerous patients (see here). Help ‘Paint the World Red for Patient Safety’. [huge_it_maps id=”5″] Click on icon for hospital name – Blue icon hospitals use poorly distinguishable chlorhexidine, Red icons use a safer alternative. […]
Thank You Alison Brindle
Everyone I’ve ever met in healthcare wants the best for patients yet medical error has been reported as the third greatest cause of death. I’ve spent years focussing on patient safety projects and learnt how current healthcare culture often stifles improvement. All the while I’ve been desperately searching for a way […]
#TheatreCapChallenge
Key Performance Indicators
As mad as a hatter?
‘Whatever you do don’t get into this. There’s nothing you can do. It will only send you mad.’ Sage words from a gastroenterologist I’d never met before. A patient of his had a ruptured bowel – the pressure of gas, delivered during colonoscopy, far too high. He’d tried for […]
