Organizational Safety Culture Help to Prevent Wrong-Sided Peripheral Nerve Block

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Dudsadee Atungkoon
Sudta Parakkamodom
Busara Sirivanasandha

Abstract

The organizational culture is a crucial effect on patient safety in healthcare service. A safety culture is an organizational culture that comprises the sharing of attitudes, beliefs, values and norms which the professionals perform certain tasks within the organization. The culture of patient safety that requires an effective professional organization to make safety a priority. Stop before you block is designed to help avoidable the risk of inadvertent wrong-sided peripheral nerve block.

Article Details

Section
Review articles

References

WHO collaborating centre for patient safety solutions. Performance of correct procedure at correct body site. 2007. [cited 2023 January 9]. Available from: https://www.scribd.com/document/626797024/PS-Solution4#.

สภาบันพัฒนาและรับรองคุณภาพโรงพยาบาล. Patient safety goals: SAMPLE. 2549. [cited 2023 January 9]. Available from: https://www.lpnh.go.th/files/quality/original_Patient_Safety_Goals_SIMPLE71.pdf.

Harris SN, Ortolan SC, Edmonds CR, Fields KG, Liguori GA. Fewer wrong-site peripheral nerve blocks following updates to anesthesia time-out policy. HSS J. 2021;17:180-4.

Topor B, Oldman M, Nicholls B. Best practices for safety and quality in peripheral regional anaesthesia. BJA Educ. 2020;20:341-7.

Deutsch ES, Yonash RA, Martin DE, Atkins JH, Arnold TV, Hunt CM. Wrong-site nerve blocks: a systemetic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-11.

Henshaw DS, Turner JD, Dobson SW, et al. Preprocedural checklist for regional anesthesia: impact on the incidence of wrong site nerve blockade (an 8-year perspective). Reg Anesth Pain Med. 2019;44:201-5.

Vandebergh V, Coll V, Keunen B. Prevention of wrong-side nerve blocks: part 2. 2021. [cited 2023 January 9]. Available from: https://www.

anesthesiologynews.com/Review-Articles/Article/09-21/Prevention-of-Wrong-Side-Nerve-Blocks-Part-2/64537?sub=A1C5F16D9D2EB0683BAAF5C77F93FB673E9A33C115344984C7CB1233BEED.

Regional Anesthesia UK (RAUK), Safe Anesthesia Liaison Group (SALG). Stop before you block

campaign. 2015. [cited 2022 December 20].

Available from: https://www.rcoa.ac.uk/sites/default/files/documents/2020-08/SBYB-Supporting-Info.pdf.

Slocombe P, Pattullo S. A site check prior to regional anaesthesia to prevent wrong-sided blocks. Anaesth Intens Care. 2016;44:513-6.

คณะกรรมการบริหารความเสี่ยง ระดับโรงพยาบาลศิริราช. Ultrasafe ความปลอดภัยของผู้ป่วยที่เราจะไม่ยอมให้เกิดความคลาดเคลื่อน. 2564. [cited 2023 January 9]. Available from: https://www.si.mahidol.ac.th/th/division/rm/news_detail.asp?id=5.

Hopping M, Merry AF, Pandit JJ. Exploring performance of, and attitudes to, Stop-and Mock-Before-You-Block in preventing wrong-side blocks. Anaesthesia. 2018;73:421-7.

ภาควิชาวิสัญญีวิทยา คณะแพทยศาสตร์ศิริราชพยาบาล. แนวทางปฏิบัติเรื่อง: การระบุ การตรวจสอบหรือการยืนยันตัวผู้ป่วยและตำแหน่งการผ่าตัด ก่อนการทำหัตถการทางวิสัญญีวิทยา (Patient and surgical site identification

& verification). 2563. [cited 2023 January 9]. Available from: https://www.si.mahidol.ac.th/th/division/rm/news_detail.asp?id=5.

Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114:818-24.

DeLeon AM, Samworth AG, Kazanji BF. When left is right and right is wrong: a case report of two near-miss wrong-sided peripheral nerve blocks. Case Rep Anesthesiol. 2022;2022:1541827.

Pandit JJ, Danbury C. How do we eliminate, or reduce the incidence of, wrong-side anaesthetic blocks?. Anaesth Intens Care. 2018;46:445-7.

Vanhaeren J, Hadzic A. How to prevent blocks on the wrong side. 2023. [cited 2024 February 2]. Available from: https://www.ormanagement.net/Clinical-News/Article/12-22/How-to-Prevent-Blocks-on-the-Wrong-Side/68841.

Mulroy MF, Weller RS, Liguori GA. A checklist for performing regional nerve blocks. Reg Anesth Pain Med. 2014;39:195-9.

Monteiro JAC, Natario MMS. Safety culture in the surgical services: case study. Tekhne. 2014;12:37-47.

NYSORA. How to prevent wrong-site nerve blocks. 2022. [cited 2023 January 9]. Available from: https://www.nysora.com/news/how-to-prevent-wrong-site-nerve-blocks/.

Johns Hopkins Medicine. Nerve Blocks. [cited 2023 January 10]. Available from: https://www.hopkinsmedicine.org/health/conditions-and-

diseases/nerve-blocks.

Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures. Anesthesiology. 2010;112:711-8.