Crisis management during anaesthesia: recovering from a crisis
| 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.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.identifier.citation | BMJ Quality and Safety, 2005; 14(3):e25/WWW 1-WWW 7 | |
| dc.identifier.doi | 10.1136/qshc.2002.004333 | |
| dc.identifier.issn | 1475-3898 | |
| dc.identifier.issn | 1475-3901 | |
| dc.identifier.uri | http://hdl.handle.net/2440/17177 | |
| dc.language.iso | en | |
| dc.publisher | British Med Journal Publ Group | |
| dc.source.uri | https://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 | |
| pubs.publication-status | Published |