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Echo Res Pract. 2015 Dec 01;2(4):G25-7. doi: 10.1530/ERP-15-0035. Epub 2015 Nov 30.

A safety checklist for transoesophageal echocardiography from the British Society of Echocardiography and the Association of Cardiothoracic Anaesthetists.

Echo research and practice

Vishal Sharma, Susan Alderton, Helen McNamara, Richard Steeds, Will Bradlow, Adrian Chenzbraun, David Oxborough, Thomas Mathew, Richard Jones, Richard Wheeler, Julie Sandoval, Guy Lloyd, Kevin O'Gallagher, Daniel Knight, Liam Ring, Katherine Collins, Niall O'Keeffe, Nick Fletcher, Allan Harkness, Bushra Rana

Affiliations

  1. Royal Liverpool and Broadgreen University Hospitals , Liverpool , UK.
  2. Royal Liverpool and Broadgreen University Hospitals, Liverpool, UK; LiverpoolWomens' Hospital NHS Foundation Trust, Liverpool, UK.
  3. Queen Elizabeth Hospital, University Hospital Birmingham NHS foundation Trust , Birmingham , UK.
  4. Research Institute for Sports and Exercise Sciences, Liverpool John Moore's University , Liverpool , UK.
  5. Nottingham University Hospital , Nottingham , UK.
  6. Portsmouth Hospitals NHS Trust , Portsmouth , UK.
  7. University Hospital of Wales , Cardiff , UK.
  8. Cardiac Ultrasound, Leeds Teaching Hospitals NHS Trust , Leeds , UK.
  9. Barts Health NHS Trust , London , UK.
  10. King's College Hospital NHS Foundation Trust , London , UK.
  11. UCL Centre for Cardiovascular Imaging, University College London , London , UK.
  12. West Suffolk Hospital NHS Foundation Trustm , Bury St Edmonds , UK.
  13. Manchester Royal Infirmary , Manchester , UK.
  14. St Georges University Hospital, NHS Foundation Trust , London , UK.
  15. Colchester Hospital University NHS Foundation Trust , London , UK.
  16. Cardiology Department, Papworth Hospital , Cambridge , UK.

PMID: 26798486 PMCID: PMC4695651 DOI: 10.1530/ERP-15-0035

Abstract

The World Health Organisation (WHO) launched the Surgical Safety Checklist in 2008. The introduction of this checklist resulted in a significant reduction in the incidence of complications and death in patients undergoing surgery. Consequently, the WHO Surgical Safety checklist is recommended for use by the National Patient Safety Agency for all patients undergoing surgery. However, many invasive or interventional procedures occur outside the theatre setting and there are increasing requirements for a safety checklist to be used prior to such procedures. Transoesophageal echocardiography (TOE) is an invasive procedure and although generally considered to be safe, it carries the risk of serious and potentially life-threatening complications. Strict adherence to a safety checklist may reduce the rate of significant complications during TOE. However, the standard WHO Surgical Safety Checklist is not designed for procedures outside the theatre environment and therefore this document is designed to be a procedure-specific safety checklist for TOE. It has been endorsed for use by the British Society of Echocardiography and the Association of Cardiothoracic Anaesthetists.

Keywords: safety checklist; transoesophageal echocardiography

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