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

  • M L Coates (a1) and S Carrie (a1)



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.


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


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.


Corresponding author

Author for correspondence: Mr Matthew Coates, ENT Department, Freeman Hospital, Freeman Road, Newcastle upon Tyne NE7 7DN, UK E-mail:


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



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2Kable, A, Gibberd, R, Spigelman, A. Adverse events in surgical patients in Australia. Int J Qual Health Care 2002;14:269–76
3World Health Organization. WHO Guidelines for Safe Surgery: Safe Surgery Saves Lives. Geneva: World Health Organization, 2009
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;360:491–9



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