Search the hub
Showing results for tags 'Operating theatre / recovery'.
-
Content ArticleIn January 2017, I read an article in Outpatient Surgery involving an elderly patient in the US who suffered multiple burns following the use of chlorohexidine bottled alcoholic prep. The Oregon woman filed a million-dollar lawsuit against the Oregon Outpatient Surgery Center in Tigard, Ore., saying she suffered severe burns when her face caught on fire during an electrocautery procedure. Having read this tragic story and escalated it to my theatre manager and colleagues, I decided to design and evaluate a FRAS (Fire Risk Assessment Score) and use it as part of the WHO Surgical Checklist at "time out" to raise awareness of fires in operating theatres.
- Posted
- 3 comments
-
1
-
- Operating theatre / recovery
- Anaesthetist
- (and 8 more)
-
Content Article
Swab safe management to prevent retained swabs
Kathy Nabbie posted an article in Improving systems of care
Implementation of the Swabsafe™ management system at the The Princess Grace Hospital following a never event.- Posted
-
- Operating theatre / recovery
- Nurse
- (and 9 more)
-
Content ArticleThis report from Saaiq and colleagues, published in the Annals of Burns and Fire Disasters, highlights three cases of iatrogenic electrocautery burns with review of the relevant published literature. The aim is to prompt awareness among surgeons and theatre staff regarding this avoidable hazard associated with the equipment frequently used for the purpose of electrocautery. This may serve as a reminder to professionals to be cautious about the pitfalls that lead to such preventable injuries.
- Posted
-
- Operating theatre / recovery
- Surgeon
- (and 3 more)
-
Content Article
Remove central lines supine - animation (2017)
Claire Cox posted an article in Implementation of improvements
The PatientSafe Network is a registered non for profit charity in Australia. It has been developed by front line healthcare staff and is for anyone who wants to improve patient safety. Their combined commitment is to improve patient safety through the transparent review of medical mistakes and the generation of transparent networked projects. Hundreds of patients die every year from avoidable central line related air emboli. This animation explains what air emboli are and how they may be avoided.- Posted
-
- Hospital ward
- Accident and Emergency
- (and 4 more)
-
Content ArticlePostoperative delirium is common and has multiple adverse consequences. Guidelines recommend routine screening for postoperative delirium beginning in the post-anaesthesia care unit. The 4 A’s test (4AT) is a widely used assessment tool for delirium; however, there are no studies evaluating its use in the post-anaesthesia care unit. Saller et al. evaluated the performance of the 4AT in the post-anaesthesia care unit in a tertiary German medical centre. The findings published in Anaesthesia suggest that the 4AT is an effective and robust instrument for delirium detection in the post-anaesthesia care unit. suggest that the 4AT is an effective and robust instrument for delirium detection in the post-anaesthesia care unit.
- Posted
-
- Operating theatre / recovery
- Anaesthetist
- (and 3 more)
-
Content ArticleThe RCNi (the publishing company of the Royal College of Nursing) have brought together a selection of their most popular articles on the topic of sepsis from across their journals to inform your practice. Sepsis remains a significant cause of death – it is estimated that 44,000 people die from ‘the silent killer’ every year. RCNi has a wide range of resources available to help nurses improve diagnosis and early management of the condition.
- Posted
-
- Care home
- Hospital ward
- (and 10 more)
-
Content Article
Blog: Named theatre hats
Claire Cox posted an article in Surgery
In his blog, Dr A Hughes, Anaesthetic Consultant & Educationalist, writes about why he wears a named hat in theatre, the controversy behind this initiative and the difficulties of changing behaviour. -
Content Article
10,000 feet - Patient Safety in the operating theatre
Claire Cox posted an article in Process improvement
This video by theatre staff from East Lancashire Hospitals NHS Trust explains how the 10,000 feet initiative promotes patient safety within the operating theatre.- Posted
-
- Operating theatre / recovery
- AHP
- (and 8 more)
-
Content ArticlePete Smith is nothing without the energy and commitment of the amazing people who surround him. Increasing the technical skill of a healthcare clinician makes for incremental change. Improve the culture within which they work, think and communicate and suddenly quantum change is possible. Two perioperative nurses from a regional hospital in Victoria, Australia, innovated a simple, elegant solution to the problem of noise and distraction in the operating room. Pete Smith was one of them.
- Posted
-
- Operating theatre / recovery
- Surgeon
- (and 7 more)
-
Content Article
Patient Stories: Beth's story (27 December 2013)
Claire Cox posted an article in Patient stories
A moving and challenging short film about the Bowen family following the tragic death of five year old Bethany during ‘routine’ surgery and subsequent sudden death of father Richard aged 31, following the trauma of his daughter’s death and the ‘torture’ of the inquest.- Posted
-
- Operating theatre / recovery
- Patient
- (and 6 more)
-
Content Article
Below Ten Thousand video
Patient Safety Learning posted an article in Processes
Below Ten Thousand is a language-based safety tool for any clinical arena where 'noise and distraction' is a problem, and where high performance teams need to quickly gain 'situational awareness' and ‘directed focus’ in order to successfully navigate the perils of acute healthcare whilst providing first class interventions.- Posted
-
- Operating theatre / recovery
- Surgeon
- (and 3 more)
-
Content Article"It’s time to halt, take a break, and redraw the relationship between patient care and self-care. Self-care isn’t an optional luxury. It must sit at the heart of what we do, to ensure our teams can continue to rise to the challenges of working in the 21st century NHS, to give our patients the best of both ourselves, and the organisation so many of us are proud to be a part of."
- Posted
-
- Accident and Emergency
- Ambulance
-
(and 30 more)
Tagged with:
- Accident and Emergency
- Ambulance
- Care home
- Community care facility
- HDU / ICU
- Prison
- Operating theatre / recovery
- Mental health unit
- Hospital ward
- AHP
- Anaesthetist
- Care home staff
- Carer
- Doctor
- Nurse
- Paramedic
- Surgeon
- Social care staff
- Radiologist
- Physiotherapist
- Pharmacist
- Health and safety
- Fatigue / exhaustion
- Resilience
- Motivation
- Organisational culture
- Workforce management
- Process redesign
- Time management
- Case report
- Link analysis
- Workload analysis
-
Content ArticlePotentially preventable adverse events remain a formidable cause of patient harm and health care expenditure despite advances in systems-based risk-reduction strategies. This quality improvement study from Suliburk et al., published in JAMA Network Open, analysed the incidence of human performance deficiencies during the provision of surgical care to identify opportunities to enhance patient safety.
- Posted
-
- Operating theatre / recovery
- Anaesthetist
- (and 11 more)
-
Content Article
#TheatreCapChallenge: Where’s the evidence?
Claire Cox posted an article in Implementation of improvements
PatientSafe Network in Australia has been promoting the theatre cap challenge across the world. By wearing your name on your theatre cap it can improve team work and patient safety. The PatientSafe Network is a registered non for profit charity. It has been developed by front line healthcare staff and is for anyone to use – patients, relatives, doctors, nurses, pharmacists, healthcare managers, equipment and system developers, insurers – who wants to improve patient safety.- Posted
-
- Operating theatre / recovery
- Anaesthetist
- (and 6 more)
-
Content Article
Let's Talk Team Work: University of Western Australia
Claire Cox posted an article in Surgery
This short animation from the University of Western Australia highlights the importance of a multidisciplinary team briefing within the operating theatre environment.- Posted
-
- Operating theatre / recovery
- Communication
-
(and 1 more)
Tagged with:
-
Content Article
Patient information for surgical safety: WHO leaflet (2015)
Claire Cox posted an article in Keeping patients safe
This leaflet produced by the World Health Organization (WHO) is aimed at patients who are undergoing a surgical procedure. It aims to enable communication between you and your surgical team, including you in safety checks.- Posted
-
- Operating theatre / recovery
- Patient
- (and 4 more)
-
Content Article
Oxford University surgical lectures: Retained swabs
Claire Cox posted an article in By health and care staff
Dr Clare Dollery reflects on a retained swab 'never event' in Churchill Hospital theatres. Incidents, such as operating on the wrong body part or leaving instruments inside patients are categorised by the Department of Health as 'never events'. Dr Dollery is Oxford University Hospital's Deputy Medical Director. The Surgical Grand Rounds lecture series, hosted by the Nuffield Department of Surgical Sciences at Oxford University, is the key educational meeting for consultants, juniors and medical students. Presentations revolve around clinical cases.- Posted
-
- Operating theatre / recovery
- Nurse
- (and 6 more)
-
Content ArticleBlog from Mark Hellaby, an Operating Department Practitioner (ODP) and currently leading a regional simulation team for Health Education England, on the effect interruptions can have. Distractions in healthcare are common. Interruptions when clinicians are completing complex tasks are familiar. This is a time when mistakes can be made. Mark led a session around distraction and cognition which allowed him over the day to start to draw together the discussions into some type of working model on how to reduce distractions.
- Posted
-
- Operating theatre / recovery
- AHP
-
(and 2 more)
Tagged with:
-
Content ArticleSeveral factors contribute to medication errors in clinical practice settings, including the design of medication labels. The objective of this study from Estock et al., published in the Journal of Patient Safety, was to quantify the impact of label design on medication safety in a realistic, high-stress clinical situation.
- Posted
-
- Medication
- Packaging/ labelling/ signage
- (and 1 more)
-
Content ArticlePublished by NHS England Patient Safety Domain and the National Safety Standards for Invasive Procedures Group to help NHS organisations provide safer care and to reduce the number of patient safety incidents related to invasive procedures in which surgical Never Events can occur. The NatSSIPs cover all invasive procedures including those performed outside of the operating department.
- Posted
-
- Hospital ward
- Operating theatre / recovery
- (and 3 more)
-
Content ArticleRichard Greenwood is Trust Decontamination Lead & Head of Sterile Services at University Hospitals of Morecambe Bay (UHMB) NHS Foundation Trust. As with many NHS Trusts, UHMB were faced with problem of managing surgical instrument stocks, migration of the instruments from sets, and tracking and tracing single instruments through the decontamination process back to the patient. This case study shows how they solved this problem.
- Posted
-
- Operating theatre / recovery
- Nurse
- (and 6 more)
-
Content ArticleThis study from Schnittker et al., published in Anaesthesia, aimed to identify which human factors were enablers and/or barriers to anaesthesia teams during airway management challenges.
- Posted
-
- Operating theatre / recovery
- Anaesthetist
-
(and 1 more)
Tagged with:
-
Content ArticleWas a lack of situational awareness a contributing factor in the outcome of this 'routine operation'? In this human factors video, Martin Bromiley, a pilot, explains what happened that day and what measures need to be in place to prevent other similar incidents.
- Posted
-
- Operating theatre / recovery
- Anaesthetist
- (and 9 more)
-
Content ArticleVideo recording technologies offer a powerful way to document what happens in clinical areas. Cameras, and to a lesser extent, microphones, can be found in a growing number of modern operating rooms in the USA, UK and other parts of the world. While they could be used to create a detailed record of what happens in and around the operating table, this is still rarely being done; the vast majority of operations are still only documented in written operation notes. In this paper, Bezemer et al. discuss using microanalysis of videos from the operating room.
- Posted
-
- Operating theatre / recovery
- Surgery - General
- (and 5 more)