Experience of a consultant-ledservice to improve the safetyof insertion of chest drainsIn response to the National Patient SafetyAgency alert on the safety of insertion ofintercostal chest drains (ICDs) in 2008, apilot of a consultant respiratory physicianledservice was run to offer advice, trainingand supervision for ICD insertion duringnormal working hours in a district generalhospital (Milton Keynes) providing acutemedical services to a population of over264,000 over a five-month period startingon 17 November 2008. The issue of inadequatesupervision was addressed by:? trying to reduce unnecessary out-ofhoursinsertion of chest drains throughmaking casualty and emergency medicineon-call doctors ask themselves thequestion ‘Does it need to be done as anemergency or can it wait?’.
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