Document Detail


Clinical care checklists: salvations or frustrations?
MedLine Citation:
PMID:  21575757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The chief of surgery at a large private hospital read a paper reporting that implementation of a comprehensive surgical checklist greatly improved mortality and morbidity. The hospital has agreed to cover the cost of implementation. A special meeting of the surgical staff on implementing the checklist did not go well. The opposition to checklists ranged from residual chafing about past experience when practice guidelines went awry to acerbic assertions that the hospital's leadership has no right to tell surgeons how to practice. A dozen surgeons abruptly left, and all except a handful were piqued. Most agreed that the data may be flawed and that the hospital should therefore wait until additional data confirm the results. What should the chief of surgery do? A. Institute the checklist. Colleagues will appreciate the results later. B. Form a committee to evaluate the data. C. Wait for confirming papers to appear in the surgical literature. D. Start a pilot study with volunteer surgeons. E. Move to a new hospital where the staff is more progressive.
Authors:
James W Jones; Laurence B McCullough
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Publication Detail:
Type:  Journal Article     Date:  2011-05-05
Journal Detail:
Title:  Journal of vascular surgery     Volume:  53     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-05-17     Completed Date:  2011-07-18     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1429-30     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
The Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA. jwjones@bcm.tmc.edu
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel*
Checklist* / ethics
Clinical Competence
Critical Pathways* / ethics
Evidence-Based Medicine
Frustration
Humans
Leadership
Practice Guidelines as Topic
Professional Autonomy
Program Development
Quality of Health Care* / ethics
Surgical Procedures, Operative* / ethics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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