Ep120. webAIRS meets M&M with Dr Yasmin Endlich

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In this episode I chat with Dr Yasmin Endlich, Medical Director at webAIRS, web based Anaesthesia Incident Reporting System. We currently have over 13,000 reports in webAIRS, making it one of the world's largest incident reporting systems. We chat about the various analyses (currently over 30 underway!), what's happening behind the scenes and how we will be discussing de-identified incident reports at the up and coming Australian Society of Anaesthetists M&M meeting. I also couldn't help discussing safety-II principles - examining what went right to prevent harm rather than only analysing failures. Three action items to consider: 1. Come to the next ASA M&M meeting! 29th June 2026. Complimentary registration for ASA members. Register or find the next event here [https://asa.org.au/asaeducation/events] 2. Join [https://www.anztadc.net] webAIRS user, if you haven't already. Any anaesthetist or trainee member of the ASA is eligible. 3. Report your incidents. Including the near misses. Help us better develop a safety-II approach Three more podcasts on webAIRS: Ep54. webAIRS with Prof Martin Culwick [https://podcasts.captivate.fm/media/5940c2ae-2f7a-4174-ad3a-869ac46ccc64/ASA-2054.mp3] Ep57. webAIRS: Lingual Nerve Injury [https://podcasts.captivate.fm/media/f4cc8ce3-390c-42f2-8e3f-d44917dfdba1/EP57-20Lingual-20Nerve-20Injury-20AAP-20.mp3] Ep79. webAIRS: Jaw Dislocation [https://podcasts.captivate.fm/media/cf949d95-0e23-4fc7-bded-e54dabe7c75d/EP79v2-jaw-dislocation-AAP.mp3] Some AI generated notes: Key Takeaways webAIRS is the world's largest anesthetic incident reporting system with over 13,000 reports, enabling rare event analysis and evidence-based safety improvements across Australia and New Zealand. Safety-II methodology—analysing what went right in near misses and no-harm events—offers a complementary approach to traditional incident analysis and may drive more effective safety interventions Implementation science remains underdeveloped in anaesthesia. Most institutions adapt to safety recommendations but rarely publish their implementation processes, limiting knowledge sharing and replication webAIRS supports institutional M&M programs through anonymous, de-identified case access with categorization tools. ASA is launching exclusive member M&M events using webAIRS data Registration with webAIRS offers dual benefits: self-reflection and learning for individual reporters, plus contribution to community-wide safety analysis. Reporting is legally privileged, anonymous, and eligible for CPD credit Quotable Moments "We understand that the health system is a complex beast, which we as humans are constantly adapting and adjusting or creating workarounds to keep things safe for our patients and usually efficient as well." "We report a lot. So the numbers of our reports are there. Then they get assessed. But the reporting back and then looking at systems and then looking how to improve things and going up the pyramid to reduce adverse events, that's basically where it stops in most healthcare areas." "It's not only important for oneself when you report as it's a part of self-reflection. It is a part of working through an incident yourself as well. But it also benefits the wider community." "We don't want is anybody who has reported an incident feel like, oh, we are not treating the data safely. We 100% are. And it will stay anonymous and it will stay completely de-identifiable as well."

Ep118. Trauma Informed Care with Brigette Berry

In this episode, I explore trauma informed care with expert clinical psychologist Brigette Berry who specialises in acute and chronic pain. We examine five core principles of Fallot and Harris (2009): safety, trustworthiness, choice, collaboration and empowerment. Trauma informed care benefits all patients, not just those who have disclosed trauma. For example, many women may have undisclosed trauma, children and neurodivergent people could all benefit from the application of these principles. Brigette recommends the Blue Knot Foundation [https://blueknot.org.au/] for support and further training. Three other episodes of the Australian Anaesthesia podcast you might enjoy listening to are: Ep55. Hypnotising children! with Drs Annette Webb and James Auld [Ep55. Hypnothttps://podcasts.captivate.fm/media/99504620-4e5e-452e-9627-1b3dce8843b9/ASA-20Podcast-20Episode-20055-20v3-converted.mp3ising children! with Drs Annette Webb and James Auld] Ep60. Communicate like a Boss with Dr Andrea Wojnicki [https://podcasts.captivate.fm/media/79e68d74-37ea-4fad-af05-020e0aee751f/V3-20-20Communicate-20Like-20a-20Boss-20-converted.mp3] Ep83. The Women's Empowerment and Leadership Initiative (WELI) with Prof Nina Deutsch & A/Prof Larry Schwartz [https://podcasts.captivate.fm/media/ee9632df-8266-49ed-ac54-d1474a1382b7/EP83-Women-s-Empowerment-AAP-converted.mp3] Let me know if you're interested in the Blue Knot training or any other feedback: podcast@asa.org.au Some AI generated notes: Episode Highlights 00:02:15: Suzi introduces the concept of non-technical skills as essential core competencies for good doctoring, noting that anaesthetists can inadvertently contribute to patient trauma through insensitive communication. 00:05:30: Bridgette defines trauma using DSM-5 criteria as experiencing a literal or perceived threat to life, and notes that general anaesthesia itself may constitute a perceived threat to self. 00:08:45: Discussion of statistics showing one in three women have experienced interpersonal violence, emphasising the prevalence of trauma in patient populations without requiring explicit disclosure. 00:12:20: Explanation of the five trauma-informed care principles from Fallot and Harris (2009): safety, trustworthiness, choice, collaboration, and empowerment. 00:15:00: Practical safety applications including physical environment modifications (lighting, noise reduction), narrating procedures, and obtaining consent for physical contact. 00:22:30: Bridgette highlights unconscious behaviours in healthcare settings, such as lifting blankets without introduction or consent, demonstrating how small actions affect emotional safety. 00:28:15: Discussion of preoperative communication using positive language and imagery to support post-operative recovery and self-efficacy, referencing hypnosis-based communication techniques. 00:35:40: Bridgette introduces the COPE AHEAD skill from dialectical behaviour therapy as an evidence-based framework for imagined rehearsal and coping strategy preparation. 00:42:00: Emphasis on maintaining professional boundaries and respectful containment as essential components of trustworthiness, alongside being curious about fostering safety. 00:45:15: Bridgette recommends Blue Knot Foundation training and resources as practical tools for implementing trauma-informed care in healthcare settings. Key Takeaways Trauma-informed care is universal best practice applicable to all patients, not only those with disclosed trauma histories, and benefits neurodivergent individuals and children equally. Simple acts of narration, consent-seeking, and signposting (e.g., "I'm about to put the drip in") significantly reduce threat perception and build emotional safety without requiring additional time. Anaesthetists have a powerful preoperative role in setting positive post-operative outcomes through clear expectations, anxiety reduction, and empowering communication that improves both physical recovery and patient trust in healthcare systems. Individualisation within a trauma-informed framework is essential; clinicians should remain flexible and responsive to patient cues, recognising that some patients may find excessive choice overwhelming while others require it. Professional development training through organisations like Blue Knot Foundation provides practical, evidence-based tools for implementation, and adopting these principles requires ongoing humility and willingness to unlearn and relearn practices. Quotable Moments "There is always something more to learn, something more I can improve upon." "One in three women have experienced some type of interpersonal violence, as an example. So if we think about one in three patients that we see for anaesthetic procedures, you know, there's a high proportion of those who experience traumatic events." "Re-traumatisation is a very real thing. And I guess when we go through the principles, I can dive in slightly further. But we know, especially for those who have been through the more kind of chronic, prolonged, inescapable traumas, that are cumulative, we're less likely to feel safe within our own bodies." "Even if we're asking the question of, is there anything else we can do in this space within reason that could make you more comfortable? That's really therapeutic than just not asking and making the person feel like they can't advocate for anything." "It's the spirit of cooperation. So that may have to involve negotiation for the specific person in front of me." "Being curious about how can I foster more safety. I think training, professional development training within your setting is really, really helpful." "It's very humbling though, I will say, working in a trauma-informed way. So there's always stuff to learn unlearn, relearn, you know, and it's about humbling ourselves enough to be okay with that process because it makes us better clinicians and then it gives our patients a better experience."

3 de may de 202643 min

Ep120. webAIRS meets M&M with Dr Yasmin Endlich

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