The Boeing B-17 was an early four engine plane and was extraordinarily complicated. Previous planes were simple enough that checklists were unnecessary but the B-17 only became practical with the introduction of a pre-flight checklist. The current state of Hospital Intensive Care is compared to flying a B-17 before the checklist was used.
Empirical evidence is given about IV line infections, a major problem in ICUs. A 5 step checklist lowers the 10-day line infection rate from 11% to 0% at Johns Hopkins, an almost unbelievable result. It is confirmed over 15 months.
These results are again confirmed at an understaffed inner city hospital in Michigan with similarly dramatic results. The study from the Michigan hospital is published in the December 2006 publication of The New England Journal of Medicine. Despite these dramatic results, there is resistance against the increased use of checklists.
The checklist study author says he can introduce ICU checklists across America for 3 million dollars at the most. Because of the resistance in the USA, the country of Spain will be the first country to use checklists nationwide. The study author hopes that the USA will not be the last country to start using ICU checklists.
If anyone here has money to burn, lobbying for the increased use of checklists in intensive care units would get more net local social returns (in lives saved) than building Stanford a new emergency room and it would cost less money.
Empirical evidence is given about IV line infections, a major problem in ICUs. A 5 step checklist lowers the 10-day line infection rate from 11% to 0% at Johns Hopkins, an almost unbelievable result. It is confirmed over 15 months.
These results are again confirmed at an understaffed inner city hospital in Michigan with similarly dramatic results. The study from the Michigan hospital is published in the December 2006 publication of The New England Journal of Medicine. Despite these dramatic results, there is resistance against the increased use of checklists.
The checklist study author says he can introduce ICU checklists across America for 3 million dollars at the most. Because of the resistance in the USA, the country of Spain will be the first country to use checklists nationwide. The study author hopes that the USA will not be the last country to start using ICU checklists.
If anyone here has money to burn, lobbying for the increased use of checklists in intensive care units would get more net local social returns (in lives saved) than building Stanford a new emergency room and it would cost less money.