Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/17177
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dc.contributor.author | Bacon, A. | - |
dc.contributor.author | Morris, R. | - |
dc.contributor.author | Runciman, W. | - |
dc.contributor.author | Currie, M. | - |
dc.date.issued | 2005 | - |
dc.identifier.citation | BMJ Quality and Safety, 2005; 14(3):e25/WWW 1-WWW 7 | - |
dc.identifier.issn | 1475-3898 | - |
dc.identifier.issn | 1475-3901 | - |
dc.identifier.uri | http://hdl.handle.net/2440/17177 | - |
dc.description | © 2005 BMJ Publishing Group Ltd. | - |
dc.description.abstract | Preventing harm to the patient is the priority during a crisis. After a major incident, and especially when a patient has been harmed, there are a number of matters to be addressed: the ongoing care of the patient; documentation of the incident; investigation of the root causes; completion of reports; interviews with the patient and/or the next of kin, together with apologies and expression of regret; updates and ongoing support for friends and relatives; a word of thanks to the staff involved for their assistance; formal debriefing of staff for quality assurance and possibly ongoing support and a separate debriefing for psychological purposes; ensuring that the recommendations of the root cause analysis are carried out; or, failing that, that the issues are logged on a risk register. The extent and depth of the follow up protocol depends on what, if any, harm may have been done. This may constitute completion of an incident report; notification of an equipment failure to a federal regulatory authority; arranging consultations with a mental health professional to manage psychological sequelae (especially following an awareness episode); follow up during weeks of intensive care treatment; or, when a death has occurred, a full medico-legal and/or coronial set of procedures. A précis is appended in an action card format. | - |
dc.description.statementofresponsibility | A K Bacon, R W Morris, W B Runciman and M Currie | - |
dc.language.iso | en | - |
dc.publisher | British Med Journal Publ Group | - |
dc.source.uri | http://dx.doi.org/10.1136/qshc.2002.004333 | - |
dc.subject | Anaesthesia mishaps | - |
dc.subject | protocols | - |
dc.subject | legal processes | - |
dc.subject | patient awareness | - |
dc.subject | critical incident stress debriefing | - |
dc.subject | unexpected death | - |
dc.subject | crisis management | - |
dc.title | Crisis management during anaesthesia: recovering from a crisis | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1136/qshc.2002.004333 | - |
pubs.publication-status | Published | - |
Appears in Collections: | Anaesthesia and Intensive Care publications Aurora harvest 2 |
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