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Best practices: implementing OR safety checklist

What is the most effective way to get hospital staff on board with a new process?  This question prompted the authors of this article to conduct phone interviews with individuals at 5 hospitals in Washington State that had adopted, or tried to adopt, the WHO surgical safety checklistThe experience at three of those hospitals is described in detail.  One hospital had a highly effective implementation, using a team approach; the other two had moderately effective implementation experiences, using ’empowering leader’ or ‘laissez faire leader’ approaches. 

What I like about this article: First, that the general principles of “how to achieve buy-in” can be translated to other situations.  Second, that Dr. Atul Gawande (a rock star of the medical literature) is one of the authors. 

Fun Update: I can’t resist adding that checklists were featured on the May 12 Grey’s Anatomy episode “I Will Survive,” in which Dr. April Keckner struggles to obtain buy-in for checklist use.  Just what this article is about! 

Source: Conley, D.M., and others.  Effective surgical safety checklist implementationJournal of the American College of Surgeons;212(5):873-879, May 2011.

Posted by: AHA Resource Center, (312) 422-2050, rc@aha.org

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