Thanks for highlighting our @GlobalSurg study in @BJSurgery. Full manuscript free here: http://onlinelibrary.wiley.com/doi/10.1002/bjs.10151/abstract … @ewenharrison
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Mechanism - teamwork, culture, leadership, workload, or chklst items? Full completion of chlst rare!http://bit.ly/1N4blFG
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At
@NHSForthValley opposite is the case. Very rare not to have completed checklist. -
Sign out too? Are you *sure*? Audit of notes certainly over-estimates. http://bit.ly/2bBeS63
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Yup just finished list at Forth Valley always sign out robustly after every case
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Great! Bottle whatever you've done and sell it! Very rare.
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I've seen them - positive role-modelling plays a big part. Has helped in my hospital when medics come from them.
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Impressive results - so important to drive this - can't assume it's done every time
@garykantorpic.twitter.com/p7Mcye3gYC
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@ciarakirke@HSEQI@Atul_Gawande those using the WHO Safe Surgery Checklist had 38% lower odds of death http://bit.ly/29hZ343Thanks. Twitter will use this to make your timeline better. UndoUndo
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@racsurgeons This is positive but far from enough. WHO:s checklist does not take surgical skills and the surgery into consid.Thanks. Twitter will use this to make your timeline better. UndoUndo
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Loved The Checklist Manifesto & recommend to all my friends. I 'ugly cried' reading Being Mortal -- but such an impt book.
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We first need to convince staff of the benefits of checklists to them-"What's In It For Me? First rule of Human Factors!
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no self selecting bias there then
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: when the evidence is so clear, why are not ALL hospitals using it? (Inspiring book, btw.)
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the next step should be a cluster RCT in hospitals thinking to introduce the checklist
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Stepped wedge cluster RCT previously published in
@AnnalsofSurgery from Scandinavia here: http://mobile.journals.lww.com/annalsofsurgery/_layouts/15/oaks.journals.mobile/articleviewer.aspx?year=2015&issue=05000&article=00001#ath … -
awesome!
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