A Simulation-Based Trial of Surgical Crisis Checklists
Alexander F. Arriaga, M.D., M.P.H., Sc.D., Angela M. Bader, M.D., M.P.H., Judith M. Wong, M.D., M.P.H., Stuart R. Lipsitz, Sc.D., William R. Berry, M.D., M.P.H., M.P.A., John E. Ziewacz, M.D., M.P.H., David L. Hepner, M.D, Daniel J. Boorman, B.S., Charles N. Pozner, M.D.,
Douglas S. Smink, M.D., M.P.H., F.A.C.S, Atul A. Gawande, M.D., M.P.H., F.A.C.S.
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These checklists were developed by the team at Ariadne Labs with the goal of improving care during 12 of the most common operating room crises. Multiple experts worked with our team to create these checklists over the last three years.
Most recently these checklists were tested in a randomized control simulator trial and the results have been published in the New England Journal of Medicine Article, "A Simulation-Based Trial of Surgical Crisis Checklists". Checklist use during operating room crises resulted in nearly a 75% reduction in failure to adhere to critical steps in management. Every team performed better when the crisis checklists were available. The next phase of this project is to work with hospitals globally to put the checklists into place effectively. As we move forward with this work we will be posting additional implementation materials on this website. |
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View these checklists in more detail and see how Brigham and Women's Hospital modified these checklists for their operating rooms.
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One of our goals is to put these checklists into place in a meaningful way globally. This document will help guide you when putting the checklists into place.
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Please write to us if you have questions or if you are working on putting these checklists into place in your operating rooms. We would like to learn from you.
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