Tuesday, January 29, 2008

Medical Checklists in Hawaii?

The brilliant writer (and surgeon) Atul Gawande has a killer op-ed in the NYT on medical checklists as they are used in ICUs. Simple checklists that force doctors and nurses to go make sure they follow a list of best practices while performing key ICU procedures dramatically reduced the rate of infections and fatalities. These programs cost almost nothing -- basically the paper they are printed on. Gawande stimates the total cost of a nationwide rollout would be less than $10 million. To my knowledge, no hospital in Hawaii has adopted these checklists. What's more, the federal government is shutting them down. The checklists, if properly implimented, could save Hawaii tens of millions of dollars per year in medical costs and also probably save dozens of lives. It's gotta happen, folks.

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