European journal of anaesthesiology
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There is limited research on anaesthesiologists' attitudes and experiences regarding medical error communication, particularly concerning disclosing errors to patients. ⋯ Willingness to disclose or report errors varied widely between hospitals. Thus, heads of department and hospital chiefs need to be aware of the importance of local culture when it comes to error communication. Error disclosure training and improving feedback on how error reports are being used to improve patient safety may also be important steps in increasing anaesthesiologists' communication of errors.
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Randomized Controlled Trial
The number of in-out catheterisations is reduced by mobilising the postoperative patient with bladder needs to the toilet in the recovery room: A randomised clinical trial.
Many patients are diagnosed with postoperative urine retention in the recovery room and treated with in-out catheterisation (IOC). ⋯ Patients were mobilised early after disc herniation intervention to permit toilet visits in the recovery room. This strategy decreased the number of IOCs, duration of stay in the recovery room and time from arrival to first mobilisation in the general ward.
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Randomized Controlled Trial Comparative Study
Spinal ultrasound versus palpation for epidural catheter insertion in labour: A randomised controlled trial.
Ultrasound imaging of the spine is thought to reduce failed and traumatic neuraxial procedures. Most of the evidence supporting this assumption has been produced in the context of an expert sonographer performing the ultrasound assessment, and it remains unknown whether this technique is useful when used by multiple individual operators. ⋯ The use of preprocedural spinal ultrasound by a cohort of anaesthesia trainees did not improve the ease of insertion of labour epidural catheters in patients with easily palpable lumbar spines, as compared with the traditional palpation technique based on anatomical landmarks.