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#TheatreCapChallenge: Where’s the evidence

WEBSurvey data. #TheatreCapChallenge led to increased name & role introductions from 38 to 90%, increased name recall from 42 to 85% and increased propensity to speak up from …

Actived: 6 days ago

URL: https://www.psnetwork.org/theatrecapchallenge-wheres-the-evidence/

Between The Flags PatientSafe Network

WEBThe Between the Flags (BTF) system is a ‘safety net’ for patients who are cared for in NSW public hospitals and health care facilities. It is designed to protect these patients from …

Category:  Health Go Health

5. Bad Apple Theory PatientSafe Network

WEBCurrent health care safety lends upon ‘Bad Apple Theory’ relying on alerts, education and policies in response to adverse events. In 2010 Grace Wang was paralysed when …

Category:  Health Go Health

Central Line Related Air Emboli PatientSafe Network

WEB2 cases (one death) post removal of central line. 2 paediatric patients air embolus on insertion of CVC. 6 patients suffering neurological injury related to CVC management. …

Category:  Health Go Health

How big is the medical error problem

WEBThe World Health Organisation published it’s 10 facts on patient safety this year ().Of note they indicate ‘There is a 1 in a million chance of a person being harmed while travelling …

Category:  Health Go Health

ACORNs & Theatre Caps PatientSafe Network

WEBIn summary: – A new hat should be worn daily, or changed more often if contaminated. – Dirty Theatre Caps should be transported separately from clean Theatre Caps. – The …

Category:  Health Go Health

Social Conformity & Groupthink PatientSafe Network

WEBSocial Conformity & Groupthink. on July 9, 2018. Groupthink: A cultural phenomenon where group-self-reflection is discouraged to preserve group identity and unity. A mythical …

Category:  Health Go Health

Stop Routine Cannula Replacement PatientSafe Network

WEBStop Routine Cannula Replacement. on February 21, 2017. A Cochrane review published in August 2015 ( see here) found no evidence to support the routine changing of peripheral …

Category:  Health Go Health

13. The ‘C’ Word PatientSafe Network

WEBEven when there’s overall agreement a proposed intervention will improve patient safety there’s one word which can stop its implementation.

Category:  Health Go Health

Resources PatientSafe Network

WEBResources. The healthcare industry is gradually recognising the benefit of human factors engineering when introducing safety systems. Traditionally there has been a reliance on …

Category:  Health Go Health

Normalisation of Deviance PatientSafe Network

WEBSocial normalisation of deviance means that people within the organization become so much accustomed to a deviant behavior that they don’t consider it as deviant, despite …

Category:  Health Go Health

Guideline for surgical attire

WEBLisa Croke, Managing Editor. updated AORN “Guideline for surgical attire,” which was last revised in 2014, will provide guidance on laundering surgical attire and wearing long …

Category:  Health Go Health

Behaviours and Rituals in the Operating Theatre

WEBdispersion increases with movement. Most microbes in theatre air are from staff and few from the patient. Each air change will, assuming perfect mixing, reduce air-borne …

Category:  Health Go Health

Protecting the breathing circuit in anaesthesia

WEBA Safety Alert Broadcast System has been piloted in a range of NHS organisations from July 2003 as a joint initiative of the Department of Health, MHRA, NHS Estates and …

Category:  Health Go Health

Why use ‘2222’ as the standard hospital emergency number

WEBThe number 2222 was chosen because it is already the one most commonly used and the standard number in the few European countries that presently have a standard national …

Category:  Health Go Health

Use ‘Valved’ IV Fluid Bags PatientSafe Network

WEBPreventing future similar adverse events would require making valved IV fluid bags standard – an intervention we will continue to pursue. Cost is not an issue here (valved, safer 1L …

Category:  Health Go Health

Final Report of the Special Commission of Inquiry Acute Care …

WEBFor the last few years, mental health services has accounted for about 8% of the total NSW Health budget. In the 2008-09, the amount was $1,092 billion, being 8.3% of the budget. …

Category:  Health Go Health

Australian Standardisation of the Hospital Emergency Number

WEBNSW Health recently standardised the Hospital Emergency Number in public hospitals at 2222. Several private hospitals have also standardised – we will contact the remainder …

Category:  Health Go Health

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