TUESDAY VN06 Anaesthesia - Sources of medical or human error by DWA

2024-05-07 10:30:00 UTC

Drug Reactions

2024-05-07 10:31:11 UTC

Swab count- leaving in patient

2024-05-07 10:31:47 UTC

miscommunication

2024-05-07 10:31:52 UTC

Drug overdoses

Leaving APL valve closed

2024-05-07 10:32:17 UTC

2024-05-07 10:32:26 UTC

Surgical checklists

using the correct circuit for sized patient

2024-05-07 10:32:35 UTC

2024-05-07 10:32:54 UTC

Error with preparation and setting things up

2024-05-07 10:33:15 UTC

Equipment error or lack of equipment

2024-05-07 10:33:29 UTC

Not leak testing circuits

sharing work load - clear instructions + job roles

2024-05-07 10:33:49 UTC

Not topping up iso so runs out during op

2024-05-07 10:34:18 UTC

Can be avoided by having check lists for setting up theatre

wrong ventilator settings

lottie2003 — 2024-05-07 10:34:40 UTC

running out of sterilised items (e.g) Swabs

2024-05-07 10:34:50 UTC

checking dates/ stock

2024-05-07 10:34:56 UTC

Circulating nurse- errors are more likely to be picked up quicker

2024-05-07 10:35:10 UTC

changing Ga nurse or vet. Poor hand over

Prevented by completing GA sheets. Handing over clearly between staff changes. Completing check lists or sheets e.g. dental charts

2024-05-07 10:35:15 UTC

Having an extra person double check drug doses and drawing up

2024-05-07 10:35:31 UTC

Check Ivs are in place and flushed

2024-05-07 10:36:03 UTC

Out of date medication

Crash box- is it accessible and up to date

2024-05-07 10:36:45 UTC

Error with pre-medication and the wrong patient

misunderstanding

2024-05-07 10:36:47 UTC

2024-05-07 10:37:39 UTC

Giving wrong medication i.e atipam instead of metacam

Forgetting to lube the patients eye (patient getting dry eye!)

2024-05-07 10:38:25 UTC