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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)

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.

Copyright

Corresponding author

Author for correspondence: Mr Matthew Coates, ENT Department, Freeman Hospital, Freeman Road, Newcastle upon Tyne NE7 7DN, UK E-mail: mcoates2@icloud.com

Footnotes

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

Footnotes

References

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1Gawande, AA, Thomas, EJ, Zinner, MJ, Brennan, TA. The incidence and nature of surgical adverse events in Colorado and Utah in 1992. Surgery 1999;126:6675
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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