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Conclusion Safety checklists were a popular intervention and had good uptake when launched on our unit. They have improved staff confidence during intubations, supporting safer care, good documentation, and education and training.

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Conclusions In areas with high rates of TB in a district a dedicated district service seems an effective way to see patients within a Mutidiscliplinary Team and allows good liason with Adult TB team. The setting up of networks for Paediatric TB may encourage this set up with discussion of active cases with tertiary infectious disease specialists while maintaining good local supportive supervision and deliver of care.