Posts tagged ‘Checklist’

RE: EHRs in Surgical Practices

Recently, on his blog “Life as a Healthcare CIO,” Dr. John Halamka gave advice on how to implement EHRs for surgical practices. Dr. Halamka points out many of the issues we’ve found when meeting with surgical practices and ambulatory surgery centers (ASCs). Surgical practices offer a unique set of problems as they have a very specific purpose, are less likely to have many returning patients, and capture a limited amount of information (the rest being captured by referring general practitioners/primary care physicians and their respective facilities). So where is the incentive for these practices to adopt an electronic solution? How can EHRs address these particular needs without being too disruptive to the surgeons’ workflows? Dr. Halamka has some ideas – based on his own experiences – but I think there’s more to add to this discussion.
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November 17, 2010 at 4:25 pm Leave a comment

Step By Step – How Checklists Can Help in the OR

Dr. Atul Gawande is a general and endocrine surgeon at Brigham & Women’s Hospital as well as the associate director for their Center for Surgery & Public Health.  He has gained prominence by writing about his experiences in the operating room as well as examining best practices for surgeons and hospitals in such publications as Slate.com, The New Yorker and two books, Complications: A Surgeon’s Notes on an Imperfect Science and Better: A Surgeon’s Notes on Performance.

In his latest book, The Checklist Manifesto: How to Get Things Right, Dr. Gawande discusses the need to implement a standardized checklist routine for surgeons before they start a procedure.  By ensuring that simple steps are taken, surgeons are able to cut down on factors that may lead to complications, including infections.  He went on The Daily Show with Jon Stewart last night to discuss his new book, what he found when the checklists were implemented, and – somehow – Star Wars. The interview can be found here.

More on Dr. Gawande’s work and how to implement these checklists after the jump:

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February 4, 2010 at 3:08 pm Leave a comment


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