Nurse anesthesiologists have successfully influenced legislative change to include full practice authority across the United States. These legislative changes directly impact the scope of practice as well as patient care and the advancement of the nursing profession. However, nurse anesthesiologists remain hesitant to embrace health policy advocacy as a professional responsibility. To act as advocates, awareness must exist around professional responsibility to engage in political advocacy, and how to engage in this role. We describe successful statewide strategies involving members of a professional state organization for nurse anesthesiologists. Leaders from the state organization incorporated clinical site visits to create a shared vision and inform legislators about their role and its influence on providing safe, quality, cost-effective care to patients. These efforts were effective in moving the policy agenda forward. Additionally, this process of educating legislators within the hospital has empowered a new generation of nurse anesthesiology advocates.
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BDJ Open
December 2024
Consultant in Special Care Dentistry, Surrey and Sussex NHS Health Care Trust, Redhill, UK.
Background: Dental treatment may not be possible for patients with a profound acquired brain injury without pharmacological support. Intravenous (IV) sedation with midazolam is a widely accepted, safe, and effective mode of treatment for people with a disability, but there is limited evidence in this patient cohort.
Aims: This evaluation aimed to review the IV sedation service for patients with profound acquired brain injury within the dental department at the Royal Hospital for Neuro-disability.
BMJ Open Qual
December 2024
Anesthesiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Background: There is an under-reporting of anaesthesia-related safety events. Incident-capturing systems (ICSs) are essential for patient safety monitoring, identifying risks and ongoing opportunities for improvement. After a literature review and assessment of our current ICSs, we concluded that our institution lacked a reliable anaesthesia-specific ICS system, leading to under-reporting of anaesthesia-related safety events.
View Article and Find Full Text PDFInt J Qual Health Care
December 2024
Faculdade de Medicina da Universidade de São Paulo, São PauloBrazil.
Background: Patients continue to suffer from preventable harm and uneven quality outcomes. Reliable clinical outcomes depend on the quality of robust administrative systems and reliable support processes. Critically ill patient handoffs from the operating room to the intensive care unit are known high-risk events.
View Article and Find Full Text PDFBMJ
December 2024
Department of Anesthesia, Harvard Medical School, Boston, MA 02115, USA.
Objective: To assess whether training provided to an inexperienced clinician just before performing a high stakes procedure can improve procedural care quality, measuring the first attempt success rate of trainees performing infant orotracheal intubation.
Design: Randomized clinical trial.
Setting: Single center, quaternary children's hospital in Boston, MA, USA.
Vet Anaesth Analg
October 2024
School of Veterinary Sciences, The University of Queensland, Gatton, QLD, Australia.
Objective: To investigate the psychological, physical and professional impact of veterinary patient safety incidents (PSIs) on veterinary anaesthesia professionals.
Study Design: We conducted an observational cross-sectional survey, inviting veterinary anaesthesiologists, anaesthesiologists in training and veterinary nurses/technicians through social media platforms from 2 June 2023 to 20 September, 2023. The questionnaire was based on Second Victim Experience and Support Survey (SVEST) and analysed using descriptive statistics and subscale scoring to assess psychological, physical and professional impacts.
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