Infusion devices: a bleeding vein of clinical negligence?
OBJECTIVE
This article explores the impact of technology and potential clinical negligence claims on nursing practice.


BACKGROUND
Sophisticated procedures and techniques have led to the development of many types of medical device. Many device functions have moved from being one of supporting clinical practice to that of being an integral requirement in treatment delivery. Clinical negligence claims against National Health Service (NHS) Trusts are also likely to spiral significantly over the next 5 years. The Medical Devices Agency cite inadequate training as a main contributing factor to the yearly increase in adverse incident reports they receive. It is these incidents that will potentially provide 'rich pickings' for the ever increasing litigation conscious Great British public, and their lawyers.


RESULTS
The challenge for management is how can staff be trained when they are under pressure to maintain a service in the face of staff and skills shortages and increased activity.


CONCLUSIONS
Investment in training schemes that address and minimize the many areas of clinical negligence risk should be explored and introduced as a matter of urgency. The management of infusion systems and a training scheme which is designed to lead staff through a comprehensive competency based generic training in the use of infusion devices is discussed.
Quinn
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Anaesthetic Department, Royal Victoria Infirmary, Newcastle Upon Tyne, UK.
D004868:Equipment Failure; D006801:Humans; D007262:Infusions, Intravenous / Q000009:adverse effects* / Q000295:instrumentation*; D007318:Inservice Training; D008318:Malpractice / Q000191:economics / Q000706:statistics & numerical data / Q000639:trends*; D012308:Risk Management / Q000331:legislation & jurisprudence / Q000639:trends; D013222:State Medicine; D006113:United Kingdom