Stop Before You Block stickers

Pollard, R.C.; Sivasubramaniam, S.

doi:10.1111/anae.14006

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…We were also struck that in two centres it appears to be the practice that anaesthetists should make an extra mark or use a locally approved ‘stop’ sticker (to be placed on the side of block) . The Safe Anaesthesia Liaison Group (SALG) and NHS Improvement have previously stressed that no extra marks should be made or placed on the patient other than the surgical site mark (SALG; personal correspondence).…”

Section: Discussionmentioning

confidence: 99%

Exploring performance of, and attitudes to, Stop‐ and Mock‐Before‐You‐Block in preventing wrong‐side blocks

2017

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We conducted an online survey to assess the career experiences of wrong side blocks, the practice of Stop-Before-You-Block, the recently described method of Mock-Before-You-Block and attitudes to these. Respondents were 208 anaesthetists across nine hospitals (173 consultants or Staff and Associate Specialist doctors'), representing 3623 years of collective anaesthetic practice. There had been a total of 62 wrong side blocks (by 51 anaesthetists and one current trainee). Predisposing factors for this were commonly ascribed to distractions (35 (69%), for example due to rushing or teaching), patient positioning (9 (18%)) or miscommunication (6 (12%)). Two (4%) respondents felt they had performed Stop-Before-You-Block too early; 62 (41%) of all respondents stated they performed Stop-Before-You-Block as early as preparing the skin or on arrival of the patient in the anaesthetic room, and not any later. Twenty (10%) respondents admitted to not performing Stop-Before-You-Block at all or only occasionally (including 5 (2%) who had performed a wrong side block). Mock-Before-You-Block was easily understood (by 169 out of 197 (86%)) and 14 out of 61 (23%) respondents felt it would have prevented the wrong side error in their case. However, free-text comments indicated that many anaesthetists were reluctant to use a method that interrupted their performance of the block. We conclude that considerable work is needed to achieve full compliance with Stop-Before-You-Block at the correct time.

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Section: Discussionmentioning

confidence: 99%

Exploring performance of, and attitudes to, Stop‐ and Mock‐Before‐You‐Block in preventing wrong‐side blocks

2017

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“…There are several measures proposed to force the 'stop' moment, from checklists to signs on ultrasound machines [2], or the novel 'mock before you block' technique [3,4]. In this context, we write to express concern about the recent correspondence that advocates either making additional 'anaesthetic' marks [5], or placing anaesthetic labels [6] on the side to be blocked, as a means of forcing the 'stop' moment.…”

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confidence: 99%

Caution over use of sticker labels or additional marks to create ‘stop’ moment in ‘stop before you block’

2018

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“…We excluded another 337 articles after reviewing the full-text citations largely because they neither identified individual NEs nor specified an existing framework (47%), or because they were non-scholarly (eg, media releases; 30%). Thus, our analyses were based on 367 articles 3 4 7–11 18–377. A full list of these articles and the information we extracted from them are found in online supplemental tables 1 and 2.…”

Section: Resultsmentioning

confidence: 99%

Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative synthesis

et al. 2023

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BackgroundNever events (NEs) are patient safety incidents that are preventable and so serious they should never happen. To reduce NEs, several frameworks have been introduced over the past two decades; however, NEs and their harms continue to occur. These frameworks have varying events, terminology and preventability, which hinders collaboration. This systematic review aims to identify the most serious and preventable events for targeted improvement efforts by answering the following questions: Which patient safety events are most frequently classified as never events? Which ones are most commonly described as entirely preventable?MethodsFor this narrative synthesis systematic review we searched Medline, Embase, PsycINFO, Cochrane Central and CINAHL for articles published from 1 January 2001 to 27 October 2021. We included papers of any study design or article type (excluding press releases/announcements) that listed NEs or an existing NE framework.ResultsOur analyses included 367 reports identifying 125 unique NEs. Those most frequently reported were surgery on the wrong body part, wrong surgical procedure, unintentionally retained foreign objects and surgery on the wrong patient. Researchers classified 19.4% of NEs as ‘wholly preventable’. Those most included in this category were surgery on the wrong body part or patient, wrong surgical procedure, improper administration of a potassium-containing solution and wrong-route administration of medication (excluding chemotherapy).ConclusionsTo improve collaboration and facilitate learning from errors, we need a single list that focuses on the most preventable and serious NEs. Our review shows that surgery on the wrong body part or patient, or the wrong surgical procedure best meet these criteria.

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Stop Before You Block stickers

Cited by 5 publications

References 3 publications

Exploring performance of, and attitudes to, Stop‐ and Mock‐Before‐You‐Block in preventing wrong‐side blocks

Exploring performance of, and attitudes to, Stop‐ and Mock‐Before‐You‐Block in preventing wrong‐side blocks

Caution over use of sticker labels or additional marks to create ‘stop’ moment in ‘stop before you block’

Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative synthesis

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