The Draeger anaesthetic machine has a poorly understood issue with its APL valve. When lifted it is actually open – even though it appears closed – creating an inability to pressurise the breathing circuit. Progress: The CEO of Dreager in Germany, Mr Stefan Draeger, had kindly contacted us directly ensuring […]
Obstacles To Patient Safety
Ban Indistinct Chlorhexidine
Indistinct chlorhexidine (circled) is easily mistaken for colourless solutions. There’s no need for these indistinct solutions and safer distinct versions and those enclosed in swab sticks are already in use in many hospitals without problem and at no extra cost. Watch ‘Gina’s Story’ to see how arterial injection resulted in leg […]
Central Line Related Air Emboli
Central lines are essential for the care of many patients, however we estimate at least one patient dies worldwide every day from central line related air emboli (see here). All of these cases are avoidable. They tend to occur from: 1. Accidental line disconnections 2. During line removal if patients […]