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Medical Checklist Saves Lives

Medical Checklist Saves Lives 1

Medical checklist the use of a checklist within hospitals, surgery and nursing.

Surgery is a high risk process and checklist ensure that surgical teams adhere to standard operating procedures. Used as a guide through complicated procedures thats require accurate task completion to prevent infection.

Maximise the use of checklists to save lives, help prevent avoidable deaths and disability during surgery and patient recover.

Medical Checklist

Medical checklist can reduce infection and reduce deaths.

Absurdly Simple but has a staggering impact on results and survival rates.

World Health Organization (WHO) devised a Safe Surgery initiative which is a surgical checklist designed to save lives by ensuring that surgical team follow a to standard operating procedures to reduce risk.

 Millions of major operations take place every year around the world. Millions of patients suffer infections after surgery, injuries, and other preventable medical complications. These sugies result in over 1 million deaths per year.

Dr. Peter Pronovost

Dr. Peter Pronovost – Created simple 5 step checklist protocol that would greatly reduce infections when inserting a central venous catheter. These mandatory steps help eliminate infections from catheter lines.
“We’ve shown with the checklist that we can take one problem and reduce it by 90 percent across the country,” Pronovost says.

The Pronovost Checklist

Central venous catheters, or line, are used for medications, blood, fluids or nutrition. These can stay in for days, or weeks and bacteria can grow in the line. This spreads infection to the bloodstream, which can cause death. This five point simple checklist for doctors and nurses to use before inserting a line can prevent infection and reduce deaths.

Medical Checklist Saves Lives 2

Wash Hands

With soap and water or alcohol cleanser

Medical Checklist Saves Lives 2

Wear Sterile Clothing

a mask, gloves, gown and hair covering – and cover patient with a sterile drape, except for a very small hole where the line goes in.

Medical Checklist Saves Lives 2

Clean Patient's Skin

Use Chlorhexidine (type of soap) when the line is put in.

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Avoid Veins in Arm and Leg

More likely to get infected than veins in the chest.

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Check Line for Infection

Check each day and remove when no longer needed.

Additional Information Dr. Peter Pronovost

Dr. Elliott R. Haut - Blood Clot Prevention Checklist

Dr. Elliott R. Haut blood clot prevention checklist. Was designed as part of a computerised clinical decision support (CCDS) tool. This tool required completion of checklists which helped evaluate VTE risk factors and contraindications to pharmacological prophylaxis. It then recommends the risk-appropriate VTE prophylaxis regimen.

Example below

VTE: Checklist Risk Factors & Prophylaxis Contraindication

VTE Risk Factor

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Spinal Cord Injury

Medical Checklist Saves Lives 2

Lower Extremity Fracture

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Pelvic Fracture

Medical Checklist Saves Lives 2

Severe Head Injury (AIS >2)

Medical Checklist Saves Lives 2

Injury Severity Score >8

Medical Checklist Saves Lives 2

Shock at Admission (SBP <90)

Medical Checklist Saves Lives 2

Surgical Procedure ( >30 mins)

Medical Checklist Saves Lives 2

Age >40

Medical Checklist Saves Lives 2

Femoral Venous Line Insertion

Medical Checklist Saves Lives 2

Prolonged Immobility

Medical Checklist Saves Lives 2

Prior DVT / PE

Prophylaxis Contraindications

Medical Checklist Saves Lives 2

High Risk of Bleeding

Medical Checklist Saves Lives 2

Traumatic Brain Injury

Medical Checklist Saves Lives 2

Solid Organ Injury

Medical Checklist Saves Lives 2

Pelvic / Retroperitoneal Hematoma

Medical Checklist Saves Lives 2

Ocular Injury with Hemorrhage

Medical Checklist Saves Lives 2

Active Bleeding

Medical Checklist Saves Lives 2

Systemic Anticoagulation

Medical Checklist Saves Lives 2

INR ≥1.5 or aPTT ratio ≥1.3

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Platelet Count <50,000

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Specific Contraindications to Enoxaparin

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Indwelling Epidural Catheter

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Renal Insufficiency (CrCl <30)

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Abbreviations: AIS, abbreviated injury score; aPITT, activated partial thromboplastin time; CrCl, creatinine clearance: INR, international normalised ratio; PE, pulmonary embolism; SBP, systolic blood pressure; VTE, venous thromboembolism.

Atul Gawande - WHO Surgical Safety Checklist

Atul Gawande the checklist manifesto , who has helped WHO launch a 19-item surgery checklist

Additional Checklists

Major Trauma: Qualitative study checklist

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