Safety guideline: reducing the risk from cemented hemiarthroplasty for hip fracture 2015

June 24, 2015

Source:  Anaesthesia 70/5 pp. 623-6

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Date of publicationMay 2015

Publication type:  Journal article/Guidelines

In a nutshell: This is a consensus document produced by a Working Party established by the Association of Anaesthetists of Great Britain and Ireland, with representatives from the British Orthopaedic Association and British Geriatric Society. The guideline is presented for the preparation and conduct of anaesthesia and surgery in patients undergoing cemented hemiarthroplasty for hip fracture. The Working Party analysed recent publications highlighting complications occurring during the peri-operative period. The advice presented is based on previously published advice and clinical studies.

Length of Publication:  4 pages


Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery

November 26, 2014

Source:  Clinical Medicine 14/5 pp. 468-74.

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Date of publication:  October 2014

Publication type:  Journal article

In a nutshell: Use of the World Health Organization (WHO) safety checklist for invasive medical procedures is not yet routine. These procedures are becoming ever more complex and involve higher-risk patients, with the need for general anaesthesia on occasion. The potential for error is increasing and the need for a safety checklist is more apparent. The checklist can be modified to provide a framework for specialty-specific safety checks, enhanced team-working and communication for invasive medical procedures. The authors carried out an audit on use of the WHO checklist in 20 cases under general anaesthesia in the quaternary referral cardiac catheterisation laboratory. They discovered use of the safety tool was poor and identified two ‘near miss’ incidents within the audit period. The authors developed and implemented a modified WHO checklist for the specific challenges faced in the cardiac catheterisation laboratory. Following a staff education programme, a subsequent audit of 34 cases demonstrated improvement in all sections with no patient safety incidents during the post-intervention audit period.

Length of Publication:  7 pages


5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: summary of main findings and risk factors

November 26, 2014

Source:  British Journal of Anaesthesia 113/4 pp. 549-59.

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Date of publication:  October 2014

Publication type:  Journal article

In a nutshell: This paper presents the main findings of the 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia (AAGA). It is one of a series of papers. The authors recommend that an anaesthetic checklist, to be an integral part of the World Health Organization Safer Surgery checklist, is introduced as an aid to preventing accidental awareness.

Length of Publication:  1 web page


NPSA Rapid Response Report: minimising risks of mismatching spinal.

February 8, 2012

Source:  NPSA

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Date of publication: November 2011

Publication type:  Report

In a nutshell:  The NPSA has published a “Rapid Response Report (RRR)” looking at the risks involved in spinal, epidural and regional devices, with a view to reducing risks.  The report is to be implemented by 31 March 2012. 

Length of publication:  1 page

Acknowledgements:  National Electronic Library for Medicine


Best practice in the management of epidural analgesia in the hospital setting

January 28, 2011

Source: NHS Evidence Health Management

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Date of publication: November 2010

Publication type: Guidelines

In a nutshell: These guidelines look at best practice in the use of epidural analgesia within hospitals.  The main subjects focused on are continuous influsions, intermittent top-up injections and patient-controlled epidural analgesia (PCEA).  They also look at the features of epidural pain management services.

Length of publication: 15 pages


A model for developing high-reliability teams.

December 22, 2010

Source: Anaesthesia  Vol 65 Iss 11 p1106-1113

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Date of publication: November 2010

Publication type: Journal article

In a nutshell: This article looks at the instances where misuse of an anaesthetic has casued adverse effects.  It also looks at providing recommendations on how to improve this.  The incidences were taken from the National Reporting and Learning System in England and Wales between 2006 and 2008.

Length of publication: 7 pages

Some important information:  Please contact your local NHS Library for the full text of the article.  Follow this link to find your local NHS Library.

Acknowledgement: EMBASE