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Interesting question. Slightly related, the book The Checklist Manifesto argues for checklists in operation rooms, to prevent rare but disastrous cases like "sc
by LittlePeter 6y ago
Interesting question. Slightly related, the book The Checklist Manifesto argues for checklists in operation rooms, to prevent rare but disastrous cases like "scalpel left inside patient", or "wrong blood type administered".
So maybe a different version of the question could be: "Do you have more or less confidence in the operating team (surgeon, nurses) using a checklist?" After reading the book I would have more confidence.
- learnstats2 6y agoI would rather surgical teams had industry-standard automated tracking technology with (for example) bar codes and radio frequency tags, than a checklist.
- JumpCrisscross 6y ago> industry-standard automated tracking technology with (for example) bar codes and radio frequency tags, than a checklist The book referenced, The Checklist Manifesto, is worth a read. Checklists outperform automated tracking technologies because checklists don't silently fail.
- learnstats2 6y agoIs there an independent reference for this? In my experience, checklists almost always silently fail. [Edited to add: 2015 column in Nature suggests studies giving positive results to checklists don't replicate: https://www.nature.com/news/hospital-checklists-are-meant-to-save-lives-so-why-do-they-often-fail-1.18057 https://www.nature.com/news/hospital-checklists-are-meant-to... ]
- JumpCrisscross 6y ago> column in Nature suggests studies giving positive results to checklists don't replicate "In a review of nearly 7,000 surgical procedures performed at 5 NHS hospitals, they found that the checklist was used in 97% of cases, but was completed only 62% of the time8. When the researchers watched a smaller number of procedures in person, they found that practitioners often failed to give the checks their full attention, and read only two-thirds of the items out loud9. In slightly more than 40% of cases, at least one team member was absent during the checks; 10% of the time, the lead surgeon was missing."
- deleted 6y ago[deleted]
- learnstats2 6y agoYes, exactly... 64% of the time, in well-sampled professional surgical settings, the checklist was not even completed?
- galphanet 6y agoTry saying/doing that in the airplane industry. Pilots are trained to use the checklist in all operations.
- jon-wood 6y agoI would like both please. Tracking technology helps with the specific example of tools left inside patients, but does nothing for things like accidentally amputating the wrong leg.
- learnstats2 6y agoBoth is fine, but given the choice I'd prefer to watch a member of the surgical team write with a sharpie on my legs.
- LittlePeter 6y agoSure, but until then, a checklist could be a $100 dollar solution for a hospital in Zambia until there is more money for a more advanced system.