Safety and quality update: November 2021
New this month: Safety alerts; mass changeover of neural connectors; webAIRS recognition; new Clinical Care Standard; and Safer Care Vic event.
New safety alerts
We've issued new safety alerts for:
- Propofol anaphylaxis
- Inconsistencies in use of red (or other colour) wrist bands for patients with anaphylaxis history
See all safety alerts
Implementing a mass changeover of neural connectors
The change to the ISO 80369-6 small-bore medical device (neural) connector standard is now a high priority for all hospitals as suppliers begin to stop production of Leur connectors worldwide. Dr Matt Drake provided insights on the lessons learned from the changeover in Auckland.
Dr Yasmin Endlich, Dr Julie Lee and Dr Martin Culwick’s paper, ‘Difficult and failed intubation in the first 4000 incidents reported on webAIRS’, has been announced as joint winner of the Anaesthesia and Intensive Care Jeanette Thirlwell Best Paper Award.
Launch of ANZCA-endorsed ACSQHC Acute Anaphylaxis Clinical Care Standard – 24 November 2021 (by webcast)
All are invited to attend the launch of the first national Acute Anaphylaxis Clinical Care Standard, hosted by the Australian Commission on Safety and Quality in Health Care. This will be a webcast event with panel discussion. The event is free to attend, and registered guests can view a recording afterwards.
Professor David Story, Chair of the ANZCA Safety and Quality Committee, notes that the Acute Anaphylaxis Clinical Care Standard relates only to management of anaphylaxis in circumstances other than ‘… in operating theatres and intensive care units where specialised clinical expertise and haemodynamic monitoring is available’. It therefore excludes almost all circumstances where anaesthetists would be managing anaphylaxis in their patients.
Nonetheless, ANZCA has endorsed this standard in recognition that anaesthetists provide leadership within hospitals with regard to the recognition and treatment of anaphylaxis, and that our endorsement underscores the importance of the standard to all clinicians.
Safer Care Victoria, Quality and Safety Leaders forum, 30 November 2021 (online)
SCV’s Quality and Safety Leaders forum is back. This is a forum for Victorian health service quality and safety leaders to:
- Share sector quality and safety improvement learnings with peers
- Network with peers
- Contribute to driving state-wide improvement
- Hear about the latest SCV quality improvement work.