4 ms·
I would rather surgical teams had industry-standard automated tracking technology with (for example) bar codes and radio frequency tags, than a checklist.
by learnstats2 6y ago
I 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.