Checklist Check-in

It’s been a decade since WHO endorsed a 19-item surgical checklist covering everything from patient identity to ensuring anesthetics are on hand.   
 
Research has shown the checklist reduces major complications by 60%. Yet adherence is inconsistent.
 
Wealthy countries use a checklist in 90% of procedures; resource-poor countries about a third of the time, a new report found.
 
Why? For one, poor countries have more emergency surgeries and fewer support staff to see to details. Some surgeons  resent the cross-check, and it’s not enforced hospital administrators.
 
But in Africa, there are signs that younger surgeons are embracing the list.
 
The New York Times

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