just a routine operation

Elaine’s nurses knew what was happening and knew what needed to happen. They brought a trach table into the room. They spoke up, but no one heard them. This is a small clip from “Just a routine operation” by Martin Bromiley, Elaine’s husband. As an airline pilot, he was uniquely equipped to break down what lead to his wife’s unnecessary death. Multiple factors have been identified: communication breakdown, lack of a plan, not listening to all team members, loss of control. If you haven’t seen th

NHS England » Patient Safety Incident Response Framework

Escape room exercise reinforcing safety at Topeka hospital