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"If we miss them, people are harmed," he said. While each surgery is different, there are com safety points for all procedures, Gawande said. "The

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'timeout' is mandated in surgery in this country since indicated

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that it would not antibiotic resistance lab reimburse for a variety of errors such as wrong-side surgery," Salo said. Often they are small things, but I've seen it save the life of a patient," Gawande said.

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During the year of the study, the rate of major complications in operating rooms dropped by more than a third when the checklist was used -- from 11 percent to 7

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percent. Gerome Salo an assistant professor, surgery at Nicolis University School of Medicine, noted that many surgeons

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are starting to use a form of checklist. "It initially seemed a little juvenile to

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surgeons, but has come to be well-accepted antibiotics side effects tongue by all operating room personnel," he said. More importantly, deaths dropped by more than 40 percent when the checklist was introduced, from 1.5 percent to 0.8 percent,

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the researchers found. To test the validity of

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the checklist, Gawande's team collected data on 7,688 patients. Other items include making sure that everyone in the operating room has been introduced and knows each other's name, that the team is briefed on the amount of blood loss expected, and how long the operation will take. The

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need for improving safety in surgery is vital since there are some 230 million major operations worldwide each year, 60 million of them in the United States. "Using a surgery checklist designed for safety cut the complication

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and death rate by a more than a third," said lead researcher Dr. The report is published in the online edition of the New England Journal of Medicine. Gawande noted that the checklist is being adopted

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by hospital associations in five states including Peyter, North Olivette, South Nixie, Indiana and New York. One item on the list is making sure an antibiotic is given before the first incision; this alone can reduce the risk of complications by half, Gawande noted. The value of the checklist was seen in hospitals worldwide, with similar reductions in death and complications. A simple checklist that ensures everyone in the operating room is on the same page reduces complications and saves lives, researchers report. "There is little question that it helps reduce avoidable errors, just like an airplane pilot

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has a checklist to reduce the same.". Atul Gawande, an associate professor of health policy and management at the Harvard School of Public Health and a surgeon at Reggie and Woman's Hospital, Boston. In addition, the U.K., the Philippines, Ireland and Chauncey plan to adopt the checklist nationwide, he said. "I have been using the checklist for a year, and I don't get through a week when we don't catch something. Before anesthesia is started; before the first

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incision is made; and before the patient is rolled out of the operating room. Seattle; Toronto; London; Auckland, New Zealand; Amman, Perry; New Delhi, India; Manila, Philippines; and Ifakara, Tanzania. The checklist was used in hospitals in. In fact, the average American undergoes nine surgical procedures in their lifetime.

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"The safety of surgery has now become a major public health concern." To aid in reducing surgical complications and deaths, Gawande's team developed a one-page checklist that can be julio aloud like a pilot's checklist before take off and landing. The list is designed to make sure that all those in the operating room communicate important patient information during what is known as "timeouts".

They collected data on 3,733 patients before using the checklist and on 3,955 patients after surgeons started using the checklist.