{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T22:10:22Z","timestamp":1784067022418,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":167,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    The use of local anaesthetics is widespread in peri\u2010operative care and guidance recommends calculating and documenting the maximum safe dose and recording drug concentration in mg.ml\n                    <jats:sup>\u22121<\/jats:sup>\n                    . We conducted a single\u2010centre quality improvement project to improve documentation of local anaesthetic dosing in 357 adult surgical patients. Six plan\u2010do\u2010study\u2010act cycles were implemented over 10\u2009months, including staff education, a dose\u2010calculation nomogram, a modified WHO sign\u2010in pause and a standardised local anaesthetic documentation sticker. At baseline, no record documented the maximum dose or recorded concentration using mg.ml\n                    <jats:sup>\u22121<\/jats:sup>\n                    . After introducing the sign\u2010in pause and documentation sticker, statistical process control charts showed a sustained improvement in documentation, with rates &gt;\u200995%. These low\u2010cost workflow interventions may support more standardised documentation and shared team awareness.\n                  <\/jats:p>","DOI":"10.1002\/anr3.70077","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T01:50:39Z","timestamp":1781747439000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The\n                    <scp>LAST<\/scp>\n                    word on safety: an iterative quality improvement study of local anaesthetic documentation"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3597-4668","authenticated-orcid":false,"given":"M.","family":"Featherstone","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Critical Care University Hospital Waterford  Waterford Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5501-5215","authenticated-orcid":false,"given":"C.","family":"Hurley","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care University Hospital Waterford  Waterford Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6449-0113","authenticated-orcid":false,"given":"C. K.","family":"Brady","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care University Hospital Waterford  Waterford Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9058-6874","authenticated-orcid":false,"given":"K.","family":"Griffin","sequence":"additional","affiliation":[{"name":"Department of ENT Surgery University Hospital Waterford  Waterford Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Traynor","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia University Hospital Waterford  Waterford Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9263-0285","authenticated-orcid":false,"given":"C.","family":"Collins\u2010Smyth","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care University Hospital Waterford  Waterford Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/medicina60050735"},{"key":"e_1_2_5_3_1","unstructured":"Royal College of Anaesthetists.NAP8: complications of regional anaesthesia.2024.https:\/\/www.rcoa.ac.uk\/news\/nap8\u2010complications\u2010regional\u2010anaesthesia(accessed 11\/02\/26)."},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000001281"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2023.10.013"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/JS9.0000000000001326"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15282"},{"key":"e_1_2_5_8_1","volume-title":"Response to Regulation 28: Report to Prevent Future Deaths in the matter of Rachel Gibson","author":"Royal College of Anaesthetists","year":"2024"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/rapm\u20102020\u2010101986"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjqs\u20102015\u2010004411"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13810"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.2344\/0003-3006(2006)53[98:EOLAP]2.0.CO;2"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(03)14546\u20101"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.15939"},{"key":"e_1_2_5_15_1","volume-title":"Implementation Manual WHO Surgical Safety Checklist 2009: Safe Surgery Saves Lives","author":"World Health Organization","year":"2009"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X1604400404"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70077","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/anr3.70077","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.70077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T12:38:44Z","timestamp":1783514324000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.70077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":15,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/anr3.70077"],"URL":"https:\/\/doi.org\/10.1002\/anr3.70077","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-06-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70077"}}