Articles: checklist.
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Pediatr Crit Care Me · May 2011
Handover after pediatric heart surgery: a simple tool improves information exchange.
To improve the quality of handover of complex patients after pediatric cardiac surgery through the use of a simple handover tool. ⋯ Use of a simple tool during handover of pediatric postcardiac surgery patients resulted in a more complete exchange of critical information with no significant prolongation of the handover duration.
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The aim of this study was to examine the implementation and sustainability of checklist use among procedural-based specialties in a pediatric hospital and to survey perceptions of checklist efficacy among staff members and physicians. ⋯ The implementation of a procedural checklist can be sustained across specialties with high compliance. Off-hours utilization remains problematic. Perceptions of checklist efficacy are disparate among roles in the operating room.
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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. ⋯ Start a pilot study with volunteer surgeons. E. Move to a new hospital where the staff is more progressive.