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Friday, 2 November 2012

Neurosurgery Evaluates Use of Checklists





Many surgical specialties have embraced use of a checklist as a means of improving patient safety, but the literature on its uptake and effectiveness in neurosurgery is sparse.

Note that another study found no significant association between preoperative elevated PT levels and hemorrhagic complications, suggesting that preoperative PT testing is of limited value.

Many surgical specialties have embraced use of a checklist as a means of improving patient safety, but the literature on its uptake and effectiveness in neurosurgery is sparse, researchers found.

The field has "only minimally addressed the utility of checklists as a healthcare improvement measure," Scott Zuckerman, MD, of Vanderbilt University, and colleagues reported in a review published in a special issue of Neurosurgical Focus dedicated to surgical error and risk mitigation.

Atul Gawande, MD, of Harvard, who has long championed surgical checklists in books and articles in The New Yorker, echoed those sentiments in a podcast produced by the journal.

"Neurosurgery struggles with the fact that in any given institution, even in high volume centers, volumes are still low enough for any given procedure that it's very difficult to see patterns of why failures occur," 

Gawande said. "What you see coming out of reviews is some suggestive evidence, but ... it's predominantly single-institution studies and you're peering into the tea leaves at the bottom of the tea cup and trying to read the patterns."

02/11/2012  :  By Kristina Fiore /  MedPage Today.


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