Fantoms
PATIENT SAFETY
Freer and Lyon ask whether the safety alerts and recommendations that can follow the identification of adverse events can
effectively exchange one uncertain risk for another. They illustrate this with a survey of the response to an alert about
best practice for confirming nasogastric tube position. An accompanying perspective from Vincent and colleagues outlines the
difficulty faced by the National Patient Safety Agency in striking a balance between evidence and action and raises the issue
of variability in practice as a threat to patient safety.
See pages F314 and F327
HIGH FREQUENCY OSCILLATION
Depending on whether your cup is half full or half empty, the routine ventilation …
