title: Implementation of a novel living-donor kidney transplant preoperative checklist within the electronic medical record: a pilot study.
abstract: BACKGROUND
  Checklist utilization in surgery has contributed to improved patient safety and reduced numbers of preventable complications. A living-donor kidney transplant (LDKT) preoperative checklist embedded within electronic medical record (EMR) was developed to enhance patient safety and prevent "never" events including: unexpected donor-recipient blood (ABO) incompatibility, positive (XM) cross match, infectious disease transmission, or procurement of an anatomically inappropriate allograft. Review of the initial 2 years of checklist utilization was performed.
  
  
  RESULTS
  This safety instrument operates by facilitating critical review and referencing of source documentation to confirm ABO, XM, infectious risk, and organ anatomy compatibility. It was met with high compliance rates and no "never events" have occurred following its inception. The checklist is readily available in the EMR and is accessible by all members of the LDKT recipient healthcare team.
  
  
  CONCLUSIONS
  Checklist utilization was associated with zero LDKT "never event" occurrences. Surgeons felt the checklist was easy to use.
authors: Glickman Urological and Kidney Institute, Cleveland Clinic, Mail Stop Q10-1, 9500 Euclid Ave, Cleveland, OH 44195 USA ; Department of Biomedical Engineering, Cleveland Clinic, Cleveland, OH USA ; Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH USA.
authors: Bradley C
authors: BC
authors: Gill
authors: Glickman Urological and Kidney Institute, Cleveland Clinic, Mail Stop Q10-1, 9500 Euclid Ave, Cleveland, OH 44195 USA.
authors: Hans C
authors: HC
authors: Arora
authors: Glickman Urological and Kidney Institute, Cleveland Clinic, Mail Stop Q10-1, 9500 Euclid Ave, Cleveland, OH 44195 USA.
authors: Hannah R
authors: HR
authors: Kerr
authors: Glickman Urological and Kidney Institute, Cleveland Clinic, Mail Stop Q10-1, 9500 Euclid Ave, Cleveland, OH 44195 USA ; Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH USA.
authors: Stuart M
authors: SM
authors: Flechner
authors: Glickman Urological and Kidney Institute, Cleveland Clinic, Mail Stop Q10-1, 9500 Euclid Ave, Cleveland, OH 44195 USA.
authors: Courtney D
authors: CD
authors: Ellis
authors: Glickman Urological and Kidney Institute, Cleveland Clinic, Mail Stop Q10-1, 9500 Euclid Ave, Cleveland, OH 44195 USA ; Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH USA.
authors: David A
authors: DA
authors: Goldfarb