October 28, 2014 | By: Calevir
This Safety Watch is to advise you that having multiple different types of cricothyrotomy kits can lead to confusion during an airway emergency. We believe standardizing your equipment including cricothyrotomy kits within an organization or within a region would help to reduce the likelihood of an adverse event.
Cricothyrotomy also commonly called a “cric” is an emergent procedure for establishing an immediate airway. The procedure can be performed several ways with various commercially prepared kits or with specialty prepared equipment. The skill requires the provider to access the cricothyroid membrane to establish an airway for oxygenation and ventilation.
Possible reasons for these events:
The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis
Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with
ISSUE:A number of events reported to CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status.Examples include:~Patient with s
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