Family Supplemented Patient Monitoring After Surgery (SMARTER): A Pilot Stepped-Wedge Cluster-Randomised Trial

Medicine, Obstetrics and Gynecology, Nursing, Anesthesiology,
postoperative monitoring   family involvement   stepped-wedge trial   Africa   surgical mortality   patient safety   task sharing  

Academic Background In Africa, postoperative mortality is twice that of high-income countries, with most deaths occurring on hospital wards after patients develop postoperative complications. The primary reason for this is inadequate postoperative monitoring, leading to delayed recognition and intervention when patients deteriorate. In Africa, heal...

Implementation of the TALK Clinical Self-Debriefing Tool in Operating Theatres: A Single-Centre Interventional Study

Medicine, Nursing, Anesthesiology,
clinical debriefing   continuous improvement   operating theatre   patient safety   safety culture   WHO surgical safety checklist  

Implementation of the TALK Clinical Self-Debriefing Tool in Operating Theatres: A Single-Centre Interventional Study Academic Background The operating theatre is a complex and high-risk environment where teams need to adhere to safety behaviors to ensure optimal patient outcomes. Clinical debriefing is a recognized element of safe practice in the o...

A Two-Person Verbal Check to Confirm Tracheal Intubation: Evaluation of Practice Changes to Prevent Unrecognised Oesophageal Intubation

Medicine, Anesthesiology,
tracheal intubation   oesophageal intubation   two-person check   patient safety   videolaryngoscopy   teamwork   capnography  

Background Tracheal intubation is a critical procedure in anesthesia and intensive care. However, despite international campaigns emphasizing the use of capnography to confirm tracheal intubation, unrecognized esophageal intubation continues to result in patient deaths. Esophageal intubation is an avoidable and potentially fatal complication, espec...