BD NRFit roundtable booklet | Page 6

6 | REGIONAL ANAESTHESIA | 2020

[ on the need for NRFit ] … the need to avoid potentially fatal but easily preventable complications , so as to provide assurance for the patient and for the hospital All

FIGURE 2

The faculty was asked to rate how the following drivers would impact conversion to NRFit ^TM

Clinical standards or recommendations

Manufacturer ’ s readiness

35 Clinical evidence

39 34

34

Hospital management mandate

Publicity from near misses

Target anaesthetists

Call for narrative review

Clinicians often do not want to change what works for them : there are logistical barriers , changes to working procedures , and the general resistance to change . Those major barriers that would have to be overcome to enable conversion included unclear benefits and conversion challenges , followed by cost ( although most costs in hospital are staff related ) and the perception that there is no safety problem that need solving .

There is currently limited awareness of NRFit™ amongst healthcare professionals . There is also currently limited perception of the need for NRFit™ , and Faculty Members summarised the need for NRFit™ to other healthcare professionals as ‘ the need to avoid potentially fatal but easily preventable complications so as to provide assurance for the patient and for the hospital ’.

The Faculty agreed that the main target audience for an NRFit™ awareness campaign would be anaesthetists ( heads of departments and specialists involved in RA and neuraxial procedures ) and hospital management ( managing directors and manager administration ). Pharmacists were also added to the target audience , as no they have an interest in medication errors and patient safety . It was thought , in any case , that transition would be slow but exponential .

workload individuals , starting at big specialty meetings . And scientific articles written by decision makers are very influential .

There was a consensus that a balanced , narrative review , co-authored by the Faculty and possible experts in the US , Asia and the Far East , should be created .

Conclusions Key messages and recommendations from the Board included the following :

• Educating and training anaesthetists on RA is paramount . Faculty recommended a wellstructured curriculum with step-by-step , teach-theteacher approach , with progressive implementation of different technical and level of knowledge and techniques , possibly involving cadaver training .

• There is a need for a European survey of current procedure-based RA controversial issue finance clinicians difficulty to change

Three key barriers for conversion to NRFit ^TM practices , and where these practices might be headed in the future

• A European Registry of misconnections , perhaps in coordination with ESRA and National Societies , would support the argument for the benefits of NRFit™

• A balanced , narrative review published in a peer-reviewed Medline-cited journal could be part of a multi-modal NRFit™ awareness-raising campaign .

NRFit is a trademark of GEDSA , used with permission