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chapter 1 recommentsation 1

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chapter 1 recommentsation 2

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Research in ophthalmic anaesthesia should be encouraged, and time set aside for this activity. Where appropriate, research projects should include patient and care-provider involvement.

Ophthalmic anaesthesia should be included in departmental audit programmes, which may include patient satisfaction, complications and adverse events.^2,38

All serious complications of anaesthesia should be reported, undergo a ‘root cause analysis’ and be dealt with according to locally agreed governance structures.

Multidisciplinary quality improvement initiatives strengthen joint working and develop a cohesive working environment. Time should be set aside for regular joint governance meetings looking at both morbidity and quality issues.

There must be a system for ordering, storage, recording and auditing of controlled drugs in all areas where they are used, in accordance with legislation.^37,38,39,40

Anaesthetists should be part of the multidisciplinary team engaged in development and implementation of enhanced recovery programmes in cardiac and thoracic surgery.^59,60,64

Suitable cases for treatment as day cases should be identified by the surgical team.⁷

In busy units, consideration should given to extending resident consultant cover into the evening.