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trhwayyesterday at 7:36 PM1 replyview on HN

>The new handover was a four stage process. First, we asked the anaesthetist to fill in a standard form that detailed ...

>The receiving doctor used an information transfer aide memoire, a form or checklist specifically designed for this process, to prompt and record the transfer of the appropriate information. Once all the blanks on the form were filled (or discussed where missing), the form was placed in the patient’s notes and acted as the admission note to the ICU, saving everyone time.

if additional forms and checklists save lives, then by all means. I have doubts though. New processes, forms and checklists have high cost, taking additional time and attention resources. If it is an optimization of an already existing process or if the staff have extra amount of their resources to spare then great, otherwise it should come from somewhere. From the same probably already overworked staff. Who as a result would probably shortcut something at some other place. I mean they identified bad transfer of info and less than ideal preparedness of the receiving bed at ICU as the root causes. What was the root cause that the trained staff did such bad info transfer and unpreparedness though? Just a lack of a process/forms/checklists?

Btw, a glaring absence of AI who could have performed necessary forms and checklists data collection and completion (including by automatically pulling data from the OR records and equipment). And similar to codegen, the AI could have produced the plan of transfer and monitor the execution of the transfer steps by the "human agents" (using vision, sensors and RFID badges and tags on humans and equipment, etc.) In that respect the article looks like a medieval text on medicine :)


Replies

exmadscientistyesterday at 7:41 PM

Checklists are amazingly powerful if they are fast and aligned with staff priorities (or true needs, which should also be aligned with priorities, but that's a separate, and pervasive, issue).

Checklists are worse than useless if they are slow and not relevant.

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