Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-23T03:57:49.408Z Has data issue: false hasContentIssue false
  • English
  • Français

A local safety standard for invasive procedures for out-patient endonasal procedures performed under local anaesthetic: a template from Newcastle upon Tyne hospitals

Published online by Cambridge University Press:  30 April 2019

M L Coates  and
S Carrie
M L Coates*
Affiliation:
ENT Department, Freeman Hospital, Newcastle upon Tyne, UK
S Carrie
Affiliation:
ENT Department, Freeman Hospital, Newcastle upon Tyne, UK
*
Author for correspondence: Mr Matthew Coates, ENT Department, Freeman Hospital, Freeman Road, Newcastle upon Tyne NE7 7DN, UK E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

In November 2017, a working feasibility analysis commenced of a local anaesthetic endonasal procedures out-patient clinic service at Freeman Hospital, Newcastle upon Tyne. Fundamental to introducing an innovative ambulatory out-patient practice is the development of a novel local safety standard for invasive procedures to support this service.

Objective

This paper presents the new safety standard developed for this purpose and implemented in our institution.

Conclusion

Increasingly, there is a shift toward ambulatory services, directed by patient choice, technological advances and the opportunity for cost savings. It is hoped that this local safety standard for invasive procedures will provide a useful template for those considering implementing ambulatory endonasal services, or other novel procedures, within the specialty of ENT.

Keywords

Clinical GovernanceAmbulatory Surgical ProceduresNoseEndoscopyAnesthetics, LocalChecklistNasal Polyps
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 5 , May 2019 , pp. 441 - 444
Copyright
Copyright © JLO (1984) Limited, 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr M Coates takes responsibility for the integrity of the content of the paper

References

1Gawande, AA, Thomas, EJ, Zinner, MJ, Brennan, TA. The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 1999;126:66–75Google Scholar
2Kable, A, Gibberd, R, Spigelman, A. Adverse events in surgical patients in Australia. Int J Qual Health Care 2002;14:269–76Google Scholar
3World Health Organization. WHO Guidelines for Safe Surgery: Safe Surgery Saves Lives. Geneva: World Health Organization, 2009Google Scholar
4Haynes, AB, Weiser, TG, Berry, WR, Lipsitz, SR, Breizat, AHS, Dellinger, EP et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009;360:491–9Google Scholar
5NHS Improvement. In: https://improvement.nhs.uk/resources/create-local-safety-standards-invasive-procedures/ [2 August 2018]Google Scholar