A local safety standard for invasive procedures for out-patient endonasal procedures performed under local anaesthetic: a template from Newcastle upon Tyne hospitals

J Laryngol Otol. 2019 May;133(5):441-444. doi: 10.1017/S0022215119000781. Epub 2019 Apr 30.

Abstract

Background: In November 2017, a working feasibility analysis commenced of a local anaesthetic endonasal procedures out-patient clinic service at Freeman Hospital, Newcastle upon Tyne. Fundamental to introducing an innovative ambulatory out-patient practice is the development of a novel local safety standard for invasive procedures to support this service.

Objective: This paper presents the new safety standard developed for this purpose and implemented in our institution.

Conclusion: Increasingly, there is a shift toward ambulatory services, directed by patient choice, technological advances and the opportunity for cost savings. It is hoped that this local safety standard for invasive procedures will provide a useful template for those considering implementing ambulatory endonasal services, or other novel procedures, within the specialty of ENT.

Keywords: Local; Ambulatory Surgical Procedures; Anesthetics; Checklist; Clinical Governance; Endoscopy; Nasal Polyps; Nose.

MeSH terms

  • Ambulatory Care Facilities / standards*
  • Ambulatory Surgical Procedures / methods
  • Ambulatory Surgical Procedures / standards*
  • Anesthesia, Local / standards
  • Anesthetics, Local / therapeutic use
  • Endoscopy / methods
  • Endoscopy / standards*
  • England
  • Humans
  • Nose / surgery
  • Otorhinolaryngologic Surgical Procedures / methods
  • Otorhinolaryngologic Surgical Procedures / standards*
  • Safety Management / methods*

Substances

  • Anesthetics, Local