Critical Incident Analysis: Equip to Avoid Failure. Issue 4 (April 2017)

• Record Type: Journal Article
• Authors: Potts, N; Martin, DSE; Hoy, L
• Is Part Of: Journal of perioperative practice. Volume 27:Issue 4(2017)
• Page Start: 77
• Page End: 82
• Publication Date: 2017-04
• Subjects: Critical incident analysis -- Anaesthetic nurse specialist -- Anaesthetic equipment -- Unanticipated difficult airway -- Root cause analysis; Operating room nursing -- Periodicals; 617.9192
• DOI: 10.1177/175045891702700403
• Languages: English
• ISSNs: 2515-7949

Abstract

This work is set in the context of perioperative practice in difficult airway management. It integrates a root cause analysis and fish bone technique to investigate a critical incident in temporary yet crucial equipment failure. Risk management and incident reporting is analysed alongside human factors in the operating theatre environment. Finally, recommendations for risk reduction, vigilance and checking vital airway equipment are made in anaesthetic practice.