Safety and quality update: November 2023
16 November 2023
New this month: Safety alert re shortage of corticosteroids; Australian Government response to report on the rise of allergies/anaphylaxis; report ‘near misses’ to webAIRS; New Zealand National mortality review pānui.
Corticosteriods in short supply.
See all safety alerts
Government response to report on the rise of allergies and anaphylaxis
On 27 October 2023, the Australian Government published a response to the Standing Committee on Health, Aged Care and Sport’s inquiry report Walking the allergy tightrope: Addressing the rise of allergies and anaphylaxis in Australia. The response is available here.
Please report ‘Near Misses’ to webAIRS
Reporting to webAIRS anaesthetic incident reporting system provides the opportunity to record and report ‘near miss’ events, as well as ‘potential hazards’ and ‘harm to patients’. The World Health Organization describes a near miss event as ‘an error that has the potential to cause an adverse event (patient harm) but fails to do so because of chance or because it is intercepted’.
Learning from near misses and adverse events is an important aspect of perioperative patient safety monitoring. We encourage the anaesthetic community to report all near misses, as well as adverse events, so emerging risks can be identified and communicated to prevent adverse events.
To report an incident to webAIRS please login or register. For any enquiries, please email firstname.lastname@example.org.
Health Quality & Safety Commission National mortality review pānui
The inaugural New Zealand Health Quality & Safety Commission National mortality review pānui from the National Mortality Review Committee and National Mortality Review Function Management Group is now available.