A practical solution for preventing wrong‐side blocks

Johnstone, Craig; Razavi, C.; Pawa, Amit; Onwochei, Desire N.; Vargulescu, R.

doi:10.1111/anae.14353

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…We did not recommend a more complex technical solution, although we are aware of several possibilities in principle. Nerve stimulators or ultrasound machines might be constructed with alarms to trigger a stop moment or they may fail to activate unless a stop moment is undertaken [10]. Drug trays or boxes that can be locked and a voice‐activated unlocking system has been suggested, opening only when a stop moment is verbalised [11].…”

Section: Discussionmentioning

confidence: 99%

‘Prep, stop, block’: refreshing ‘stop before you block’ with new national guidance

2021

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Section: Discussionmentioning

confidence: 99%

‘Prep, stop, block’: refreshing ‘stop before you block’ with new national guidance

2021

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“…12 Previous international study has shown that there is very low uptake of the safety initiative into the Anaesthetic practitioners daily practice. [13][14] In fact many studies have cited the failure to perform either one of the safety initiative together with the lack of reminders have led to wrong side / site peripheral nerve blocks. [15][16] In Malaysia so far, there has been no study regarding the knowledge, attitude and practice of 'Stop and Mock Before You Block' among Anaesthetic practitioners.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Application and Practice of "Stop and Mock Before You Block" among Anaesthetic Doctors in Hospital Kuala Lumpur

2023

IJFMR

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Introduction : Safe practice during regional anaesthesia is important to ensure avoidance of morbidity and mortality. The Stop and Mock Before You Block is a safety initiative that is developed to prevent wrong sided and site regional blocks. The study aims to identify the incidences of wrong side or site blocks and also identify the knowledge, application and practice of anaesthetic doctors in Hospital Kuala Lumpur. Method : This is a observational descriptive study, where a questionnaire in the format of Google Form is distributed among Anaesthetic doctors via Whatsapp. The data was then collected and analysed using SPSS to generate frequencies and mean of responses. It was also used to analyse the relationship between the variables and demographics. Results : A total of 143 anaesthetic doctors responded. The study found an incidence of 8 wrongly performed blocks. The study also found significant correlation between years of practice and doctor’s grade to the knowledge, application and practice components. Conclusion : The study has identified 8 occurrences of wrong side or site block that has occurred among the anaesthetic doctors in Hospital Kuala Lumpur. Based on the results of the study, majority of the anaesthetic doctors had moderate to poor knowledge, application and practice of the Stop and Mock Before You Block safety initiative.

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Wrong-site nerve blocks: evidence-review and prevention strategies

Kwofie

Uppal

2020

Current Opinion in Anaesthesiology

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Purpose of review There has been increasing attention to wrong site medical procedures over the last 20 years. This review aims to provide a summary of the current understanding and recommendations for the prevention of wrong-site nerve blocks (WSNB). Recent findings Various procedural, patient, practitioner, and organizational factors have been associated with the risk of WSNB. Recent findings have suggested that the use of a checklist is likely to reduce the incidence of WSNB. However, despite the widespread use of preprocedural checklists, WSNB continue to occur at significant frequency. This may be due to the inability of practitioners and teams to implement checklists correctly or the cognitive errors that prevent checklists from being executed as designed. Summary Though the evidence is limited, it is recommended that a combination of multiple strategies should be employed to prevent WSNB. These include the use of preprocedural markings, well constructed checklists, time-out/stop-moments, and cognitive/physical aids. Effective implementation requires team education and engagement that empowers all team members to speak up as part of a culture of safety.

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A practical solution for preventing wrong‐side blocks

Cited by 3 publications

References 2 publications

‘Prep, stop, block’: refreshing ‘stop before you block’ with new national guidance

‘Prep, stop, block’: refreshing ‘stop before you block’ with new national guidance

Knowledge, Application and Practice of "Stop and Mock Before You Block" among Anaesthetic Doctors in Hospital Kuala Lumpur

Wrong-site nerve blocks: evidence-review and prevention strategies

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