Development of OR Crisis Checklists
In collaboration with a multi-disciplinary group of clinicians from the various Harvard teaching hospitals we developed a set of 12 checklists for the most common and life-threatening operating room crises, enhancing usability, and optimizing adherence to critical steps in management. The work was performed under an AHRQ grant, “Development, Validation and Implementation of Customized Checklists for Safe Surgery”. This work lead to two articles, a pilot study in the Journal of the American College of Surgeons, and a randomized controlled study in the New England Journal of Medicine. Following the publication of this article our efforts have focused on how to help facilities put the checklists into meaningful clinical use. We are currently working with Brigham and Women’s Hospital, Kaiser Permanente of Northern California, and the Center for Emergency Medicine in Chisnau Moldova to put this set of checklists into place.