Something Powerful

Resources

 

 

Book Review: Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out

Summer has arrived and with it I hope many of you have
had or are about to enjoy some vacation time. 
Being an avid reader, summer vacations sitting on the dock enjoying the
view of the river and devouring a good book are some of my most prized moments.

This book is a story of a simple device, a checklist,
that the authors suggest can make healthcare safer.  Written by Peter Pronovost, an
anaesthesiologist and critical care specialist and Eric Vohr a communications executive,
together they build a convincing case for urgent and radical change of western
healthcare systems. Using personal accounts of two deaths, Pronovost
illustrates perfectly how adept modern health systems are in harming patients
unnecessarily.  Throughout the book, the
narrative continues with an array of true stories of preventable error and how
through the use of the checklist, he has been able to successfully address
these events.

With the development, implementation and measurement of
interventions using the checklist; Pronovost stands alongside a handful of
pioneers who have truly transformed patient safety and infection
prevention.  This book provides a
fascinating insight into how it all happened, who was involved in the collaborative
development of the checklist and what might happen next.  He talks about the checklist as a life saving
device which adds an interesting angle to the story, and should challenge every
reader to reconsider how we position the things we do, the tools we use, the
approaches we take in our day to day work in infection prevention and the
language we use.  At first the reader
might be forgiven for thinking this is a little exuberant - I mean is the
checklist really equivalent to the discovery of penicillin?  However, given the fact that the checklist if
implemented successfully and consistently could save lives on a monumental
scale, the language might even be underselling the device as Pronovost believes
its use could eradicate 1 million cases of central line associated blood stream infections and save 50, 000 lives. 
Something I think we can all agree is worth doing!

The book emphasizes how the checklist revolution can only
be achieved alongside a parallel cultural revolution in our healthcare
systems.  The checklist effect is
predicated on a collaborative culture and the need for a radical shift in the
status of the physician.  Pushing the
boundaries of convention throughout, Pronovost is clear that success requires
the status quo to be transformed beyond recognition.

Being a list maker myself, I know firsthand a successful
grocery shopping trip or errand run only occurs if I have made my list, checked
it twice and checked it off as I go along.  
If the success rate of simple tasks like grocery shopping can be
improved, I'm all for using checklist to improve infection prevention and
patient safety.  You never you when you'll
be a patient and Pronovost's checklist could save your life.


Bugging off!


Nicole