Implementation of Safe Surgery Saves Lives initiative in Ahmed ...
Implementation of Safe Surgery Saves Lives initiative in Ahmed ...
Implementation of Safe Surgery Saves Lives initiative in Ahmed ...
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2.3 The checklistHealthcare relies greatly on healthcare specialists‟ ability to recall detailed critical <strong>in</strong>formationdur<strong>in</strong>g medical practice. However, memory is likely to be error prone, result<strong>in</strong>g <strong>in</strong> medical errorsand harm to patients. Many <strong>in</strong>dustries, <strong>in</strong>clud<strong>in</strong>g aviation, factories, operation and ma<strong>in</strong>tenancecompanies and nuclear power, attempted to overcome this particular recall limitation bymandat<strong>in</strong>g checklists. After exam<strong>in</strong><strong>in</strong>g flight deck checklists, Degani and Wiener <strong>in</strong>1993identified several advantages regard<strong>in</strong>g effective checklists.Emerton et al. discussed that the teamwork is def<strong>in</strong>able and measurable and can be improvedthrough formal structured communication, such as checklists. They suggested that theirpr<strong>in</strong>ciples could effectively be applied to other high-risk <strong>in</strong>dustries, such as healthcare, andsurgery <strong>in</strong> particular (Emerton, Panesar, & Forrest, 2009).A checklist is a tool widely used nowadays, to ensure documentation. It provides a valuabletechnique <strong>in</strong> error management. And checklist is compulsive part <strong>of</strong> aviation <strong>in</strong>dustry andproduction processes management <strong>of</strong> factories such as pharmaceutical <strong>in</strong>dustries. A checklist canhave several objectives, <strong>in</strong>clud<strong>in</strong>g memory recall, standardization and regulation <strong>of</strong> processes,procedures or methodologies. Also it provides a framework for supervision <strong>of</strong> work andevaluations, and a diagnostic tool. Though, <strong>in</strong> all uses <strong>of</strong> checklists the central goal is errorreduction or best practice adherence (Vijayasekar & Steele, 2009). The orig<strong>in</strong>s <strong>of</strong> the checklistdate back to 1935 when a long-range bomber designed by Boe<strong>in</strong>g crashed dur<strong>in</strong>g a competition.This accident resulted <strong>in</strong> the death <strong>of</strong> the most technically gifted pilot on board (Gawande ,2007). A few pilots believed that this catastrophe was a result <strong>of</strong> a s<strong>in</strong>gle pilot be<strong>in</strong>g forced toremember countless steps before take-<strong>of</strong>f. Consequently, they designed a set <strong>of</strong> simple step-bystepchecks for take-<strong>of</strong>f, flight, land<strong>in</strong>g and taxi<strong>in</strong>g. This resulted <strong>in</strong> an accumulation <strong>of</strong> 1.816