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Re:Sponges, drill bits and wires: Surgeons mistakenly left o... by bambax on Saturday April 19, 2025 @03:48AM (#43734903)
> In the airline industry they have checklists

Yes, and The Checklist Manifesto (which is a fantastic book) was published in 2009; yet it seems little progress has been made since.

It's not just checklists, though, it's also basic CRM. If the lead surgeon is God, and you're a nurse, you don't speak up -- you probably don't even believe your own senses when they tell you something's wrong.

A fundamental change is sorely needed -- not sure what will make it happen.

Re:Sponges, drill bits and wires: Surgeons mistakenly left o... by thaumasiotes on Saturday April 19, 2025 @04:16AM (#43735006)
The Checklist Manifesto is good, but it was a little confused over what checklists are.

Almost all of the examples discussed are actually checklists: before you do something, you go over the checklist and make sure whatever it says to do has been covered.

But the example of soap distribution in India isn't like that at all. The notional "checklist" was a list of several circumstances in which you should use soap:

1. Before preparing food.

2. After using the bathroom.

3. After wiping an infant.

4. [There were others; I don't remember them.]

This is a good and valuable set of information to publicize. But it isn't a checklist. Interpreted as a checklist, you would need to check it before and after every action you ever take. That is obviously not something people can do. You use this list by doing the work of modifying your relevant habits to include "wash with soap" at an appropriate stage, which is exactly the kind of approach to doing things that the rest of the book is telling you doesn't work.