Health

In 2006, before the implementation of the WHO surgical safety checklist, the World Health Organization (WHO) asked surgeon Atul Gawande to organize a group to solve a problem: Surgery was increasing rapidly worldwide, but surgical patients were getting unsafe care so often that surgery was a public danger. WHO sought a global program that would reduce avoidable harm and deaths from surgery. We’ll cover how the WHO surgical safety checklist was developed, how it’s been implemented in hospitals across the country, and what results hospitals have seen from using the WHO surgical checklist.

Advances in medicine have brought with them the need for the existence and expansion of medical specialties. This specialization in medicine has many benefits. Does it have downsides? We’ll cover the history of medical specialization and why it doesn’t always serve patients well.

In trying to do the right things, the challenge of the 21st century is ineptitude, rather than ignorance. It used to be the reverse. Can a simple checklist, say, a heart attack checklist, help prevent avoidable mistakes in medicine? We’ll cover how more knowledge, in medicine particularly, has led to more ineptitude, and we’ll discuss how doctors adopting a simple list like a heart attack checklist can save lives.

In medicine, the four vital signs (pulse, blood pressure, temperature, and respiration) have become an important regular check on how a patient is doing. Missing one can be dangerous. Would a medical checklist help make sure that each step was completed? We’ll cover the benefits of medical checklists in a variety of medical fields and look at how they can significantly reduce complications and save lives.

In 2001, a critical care specialist at Johns Hopkins Hospital, Peter Pronovost, decided to try a checklist for doctors, targeting a common problem in ICUs: central line infections. How could the hospital improve central line-associated bloodstream infection (CLABI) prevention? We’ll cover Pronovost’s simple technique for CLABI prevention and look at its success throughout the nation.