Still looking down in checklists?

Just saw this article of the power of checklists in medicine (here) which reminded me that I had forgotten to include a link in an earlier post (here).  Atul Gawande wrote a long piece in the New Yorker a little more than a year ago simply entitled “The Checklist“.  It is far too rich to summarize effectively – please read the whole article — but below are a few snippets

[I]t’s far from obvious that something as simple as a checklist could be of much help in medical care. Sick people are phenomenally more various than airplanes… Mapping out the proper steps for each is not possible, and physicians have been skeptical that a piece of paper with a bunch of little boxes would improve matters much.

In 2001, though, a critical-care specialist at Johns Hopkins Hospital named Peter Pronovost decided to give it a try. He didn’t attempt to make the checklist cover everything; he designed it to tackle just one problem, the one that nearly killed Anthony DeFilippo: line infections…. These steps are no-brainers; they have been known and taught for years. So it seemed silly to make a checklist just for them. Still… [i]n more than a third of patients, [doctors] skipped at least one. 

The results were so dramatic that they weren’t sure whether to believe them: the ten-day line-infection rate went from eleven per cent to zero. So they followed patients for fifteen more months. Only two line infections occurred during the entire period. They calculated that, in this one hospital, the checklist had prevented forty-three infections and eight deaths, and saved two million dollars in costs.

Still think your project is too complicated to benefit from a checklist or two?

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