3 ms·
Your example depends more on the personality (and mood) of the surgeon than on the existence of a checklist. Example without checklist: Nurse: Dr, I think you
by IMTDb 8y ago
Your example depends more on the personality (and mood) of the surgeon than on the existence of a checklist.
Example without checklist:
Nurse: Dr, I think you forgot to do X.
Dr: Oh, you are right, thanks a lot
Example with checklist :
Nurse: Dr, you missed step #4.
Dr: I have done this list every day for the past 15 years, I know I ddid not forget anything, don't question me
- alexpotato 8y agoYou are correct that there are surgeons etc that would reply in the negative no matter what was said. My understanding is that if the checklist empowers, say, 5% of the nurses to speak up and 5% of surgeons to acknowledge the error that is still a huge net positive over thousands of cases. My favorite small nudge example is pill bottles vs "blister" packs. Having pills in blister packs has shown to have a significant effect on reducing suicide as it makes it much harder to get the number of pills needed. Yes, some people will still succeed but there is a segment of the target population who will give up after a couple pills.
- mnw21cam 8y agoI have a prescription that means I take eight pills in one go. And they are provided in blister packs. It's really annoying. I can see that this is a thing.
- wwweston 8y agoNothing will stop someone who's disagreeable, assertive, non-conscientious AND given unchecked status from ignoring a step for capricious reasons. But medical school is going to heavily select for conscientiousness (a personality trait that checklists work with), and also checklists are essentially another authority in the room. So, yes, you could potentially have discussions over whether or not something has actually been done. But you aren't going to have discussions about whether it should be.
- throw0101a 8y ago> Example with checklist : Nurse: Dr, you missed step #4. Dr: I have done this list every day for the past 15 years, I know I ddid not forget anything, don't question me You're not wrong, but if the hospital policy is to follow checklists, then the doctor overriding it would have to answer some questions afterwards if something were to go wrong. Presumably a review would occur, and the fact that the checklist was ignored could be used as 'evidence' against the doctor.