The #TheatreCapChallenge has been discussed in mainstream media internationally with write ups in Chinese, American, Russian, Japanese, Korean, Spanish and Indonesian newspapers. Over 2 days it was the most read article in the Sydney Morning Herald with over 1 million reads on one day, over 300,000 likes and 30,000 comments […]
Obstacles To Patient Safety
#TheatreCapChallenge – Where’s The Evidence?
For those unsure that clearly displaying ones name and role will improve communication, teamwork and patient outcomes this may help: An RCT which demonstrates that wearing hats would lead to prevention of patient deaths require over a million patients in either limb. This is because because of the frequency of […]
Listening Into Action
Plain Language Alerts?
Colour coding alert systems perhaps complicate our work environments unnecessarily. I’ve always wondered why they haven’t just said what the alert is. They’re not internationally recognised (a myriad of different systems here) aren’t intuitive, occur extremely rarely in some cases and may be easily forgotten. Misinterpretation of colour coding can […]
#endPJparalysis
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 […]