Featured Article
Haynes AB, Weiser TG, Berry WR, et al; A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. N Engl J Med 2009;360:491-9
Haynes AB, Weiser TG, Berry WR, et al; A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. Supplementary Appendix. N Engl J Med 2009;360:491-9
Expert Reviews:
Supplementary Articles
Auerbach AD, Landefeld, CS, Shojania KG. The Tension between Needing to Improve Care and Knowing How To Do It. New Eng J Med 2007;357(6):608-13
Questions
Please read the provided articles and be prepared to discuss the following:
1. What is the clinical question being addressed?
2. What are the possible biases in a before-after study design and in this study in particular?
3. Comment on the appropriateness of the checklist and outcomes of the study?
4. Were the results of the study clinically and statistically significant?
5. Is evidence from a RCT necessary before a checklist is adopted?
6. Is it possible to perform a RCT to assess the value of a checklist?
7. Would a delay in implementing a checklist until it is further evaluated lead to needless complications and post-operative mortality?
8. Are the likely treatment benefits worth the potential harm and costs?
9. Are the findings in this study generalizable to other institutions?
10. State the conclusion. Have the authors addressed the clinical question posed?
11. Does the evidence support the conclusion?