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https://hdl.handle.net/2440/17177
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Type: | Journal article |
Title: | Crisis management during anaesthesia: recovering from a crisis |
Author: | Bacon, A. Morris, R. Runciman, W. Currie, M. |
Citation: | BMJ Quality and Safety, 2005; 14(3):e25/WWW 1-WWW 7 |
Publisher: | British Med Journal Publ Group |
Issue Date: | 2005 |
ISSN: | 1475-3898 1475-3901 |
Statement of Responsibility: | A K Bacon, R W Morris, W B Runciman and M Currie |
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. |
Keywords: | Anaesthesia mishaps protocols legal processes patient awareness critical incident stress debriefing unexpected death crisis management |
Description: | © 2005 BMJ Publishing Group Ltd. |
DOI: | 10.1136/qshc.2002.004333 |
Published version: | http://dx.doi.org/10.1136/qshc.2002.004333 |
Appears in Collections: | Anaesthesia and Intensive Care publications Aurora harvest 2 |
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