Queen Elizabeth The Queen Mother hospital (QEQM), a DGH in Margate, is one of two hospitals within East Kent Hospitals University NHS Foundation Trust (EKHUFT) to provide full maternity care: both midwifery and obstetrician-led services. It serves a large geographical area and diverse population in east Kent, and has approximately 2800 births every year.
We observed inconsistent communication of LA risks in this unit, which we suspected were due to poor knowledge as had been reported elsewhere.2–4 Conversation with maternity staff suggested that many were unfamiliar with LAST and there was confusion with anaphylaxis. As baseline data collection confirmed poor LAST awareness across disciplines, and as an interprofessional approach to Quality Improvement (QI) has been associated with maximal safety benefit,5 we were confident that we could expect to improve clinical awareness during this QI project.
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