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Some hospitals lack training in the use of the surgical "time-out" procedure. [33] Some hospitals that did successfully implement the SSC and find improved safety reported that changing the safety culture required time and effort by a "local champion" to ensure that all staff could see the benefits of the checklist. [5]
The use of the term proceduralist is often used in outlining procedures for ensuring patient safety in any invasive procedure, regardless of the exact type. [3] The proceduralist would be expected to participate and lead a procedural time out, often guided by a checklist such as the WHO Surgical Safety Checklist. This includes ensuring the ...
[5] In 2008 Time magazine named Pronovost among the 100 most influential people in the world. [6] That same year, Pronovost was awarded a MacArthur Fellowship. [1] Pronovost's book Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out was released in February 2010. [7]
In 2009, SCOAP rolled out its most visible initiative—the Surgical Checklist. Modeled after the checklist used by pilots on commercial airlines, this checklist is now in every Washington State hospital. This list assures the entire surgical team reviews each step in the upcoming surgery at the same time and prior to the surgery itself.
Patient safety factors were suggested to play an important role, with use of the WHO Surgical Safety Checklist associated with reduced mortality at 30 days. Mortality directly related to anesthetic management is less common, and may include such causes as pulmonary aspiration of gastric contents, [19] asphyxiation [20] and anaphylaxis. [21]
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In his first few years on the faculty at Johns Hopkins, Makary researched and wrote articles on the prevention of surgical complications. [12] He published on frailty [13] as a medical condition, and on safety and teamwork culture in medicine. Makary is the first author of the original scientific publications describing "The Surgery Checklist ...
In health care, particularly surgery, checklists may be used to ensure that the correct procedure is carried out on each patient. [11] Checklists have been used in healthcare practice to ensure that clinical practice guidelines are followed. An example is the WHO Surgical Safety Checklist developed for the World Health Organization and found to ...