Process Improvement in the Operating Room: A Proposal to Make Surgery Safer
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The core goals of this thesis are to demonstrate the need for surgical safety checklists, to address the efficacy of surgical safety checklists, and to propose an innovative format to improve that efficacy. Divided into four chapters, this work will: first, attempt to posit a definition for, as well as the implications of, medical error, second, explain how surgical safety checklists are presumed to reduce the occurrence of such errors, third, attempt to investigate why the supposed benefits of checklists are not universally actualized, and finally, to propose an alternative to the typical delivery format of the safety checklist that addresses the problems outlined in the third chapter. This alternative is a computer program that is intended to address the issues associated with gaming the system, accuracy, completion, and attentiveness.