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Old 4th May 2010 | 17:30
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Genghis the Engineer
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A very interesting paper on the subject:

http://www.endo.gr/cgi/reprint/NEJMsa0810119v1.pdf ,

and there's some background material about it at

Annals of Medicine: The Checklist : The New Yorker

The critical quote so far as I can see is from the results of the first paper:

The rate of death was 1.5% before the checklist was introduced and declined to 0.8% afterward (P = 0.003). Inpatient complications occurred in 11.0% of patients at baseline and in 7.0% after introduction of the checklist (P<0.001).
In other words, they roughly halved the death rate in operations by use of a checklist. Given that we've been using checklists of this nature in aviation since I believe the late 1940s, it's just astounding that it took so long for medicine to catch up.

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