Lessons from aviation - the role of checklists in minimally invasive cardiac surgery.
We describe an adverse event during minimally invasive cardiac surgery that resulted in a multi-disciplinary review of intra-operative errors and the creation of a procedural checklist. This checklist aims to prevent errors of omission and communication failures that result in increased morbidity and mortality. We discuss the application of the aviation - led "threats and errors model" to medical practice and the role of checklists and other strategies aimed at reducing medical errors.
Division of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.
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S
Hussain
Division of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.
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C
Adams
Division of Clinical Perfusion Services, Western University, London Health Sciences Centre, London, Ontario, Canada.
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A
Cleland
Department of Anesthesia & Perioperative Medicine, Western University, London Health Sciences Centre, London, Ontario, Canada.
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PM
Jones
Division of Clinical Perfusion Services, Western University, London Health Sciences Centre, London, Ontario, Canada.
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G
Walsh
Division of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada bob.kiaii@lhsc.on.ca.
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B
Kiaii
D001359:Aviation; D006348:Cardiac Surgical Procedures / Q000379:methods*; D057189:Checklist; D005260:Female; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*
checklist; medical errors; minimally invasive; threats and errors