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United Kingdom: Recent Advances in the Safety and Prevention of Regional Anesthesia Complications

  • Graeme A. McLeod
Chapter

Key Points

  • The National Institute of Academic Anesthesia’s Health Services Research Centre (HSRC) was formed in 2011 and coordinates national audit, quality improvement and research activity investigating the influence of perioperative care, anesthesia, and critical care on patient morbidity and safety. The National Patient Safety Alerting System alerts health personnel of drug- or device-related risks.

  • Complications that are the focus of UK regional anesthesia include inadvertent intravenous injection of local anesthetic, wrong site blocks, efficacy and side effects of central neuraxial blocks, and regional anesthesia for hip fracture surgery.

  • In 2014, the HSRC conducted a national survey of 260 UK hospitals in order to provide a national benchmark for patient satisfaction and patient-reported awareness after anesthesia against which hospitals could measure their own performance.

Keywords

Anesthesia Regional Morbidity Local anesthetic Audit Quality improvement Epidural Thoracic 

Abbreviations

AAGBI

Association of Anaesthetists of Great Britain and Ireland

ASAP

Anaesthesia Sprint Audit of Practice

CNB

Central Neuraxial Block

CSE

Combined Spinal–Epidural

HSRC

Health Services Research Centre

NAP

National Audit Project

NaPSAS

National Patient Safety Alerting System

NHS

National Health Service

NIAA

National Institute of Academic Anesthesia

NPSA

National Patient Safety Agency

NRLS

National Reporting and Learning System

RCoA

Royal College of Anaesthetists

SALG

Safe Anaesthesia Liaison Group

SNAP

Sprint National Anesthesia Project

UK

United Kingdom

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Division of Neuroscience, Institute of Academic AnaesthesiaMedical Research Institute, Ninewells Hospital & University of Dundee School of MedicineDundeeUK

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