Update to the Local Safety Standards for Invasive Procedures (LocSSIPs) - Central venous catheter insertion,...

Area of Science:

• Critical Care Medicine
• Patient Safety
• Medical Procedures

Background:

• Patient safety incidents in intensive care units (ICUs) have been linked to significant morbidity and mortality.
• Previous versions of procedural checklists were established in 2017.
• The National Safety Standards for Invasive Procedures (NatSIPPs) 2 publication informed the update.

Purpose of the Study:

• To launch revised Local Safety Standards for Invasive Procedures (LocSIPPs) checklists.
• To improve the safety of invasive procedures performed in intensive care units.
• To provide adaptable checklists for unit-specific implementation.

Main Methods:

• Review and update of existing procedural checklists based on patient safety incident analysis.
• Focus on commonly performed critical care procedures: intubation, bronchoscopy, intercostal drain insertion, tracheostomy insertion, and central venous catheter insertion.
• Development of checklists designed for departmental adaptation and unit-specific application.

Main Results:

• Revised LocSIPPs checklists have been launched.
• The updated checklists incorporate learning from reported patient safety incidents.
• Checklists are designed for customization to local working practices within critical care units.

Conclusions:

• The revised LocSIPPs checklists are expected to enhance patient safety in ICUs.
• Successful implementation requires integration with educational and clinical governance procedures.
• Unit-specific adaptation of checklists is crucial for effective local working practices.