Surgical checklists could cut malpractice claims: study

Thu Jan 13, 2011 11:46pm EST
 
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NEW YORK (Reuters Life!) - Surgical checklists not only save lives by preventing medical errors, they could also make a big dent in medical malpractice claims, according to a study in the Netherlands.

Using data from the country's largest medical liability insurer, a team led by Eefje de Vries of the Academic Medical Center in Amsterdam found that nearly a third of the malpractice claims arose from mistakes that likely would have been caught by a checklist.

For the study, published in the Annals of Surgery, the team identified the main reasons for errors in 294 successful insurance claims related to surgeries from 2004 to 2005. They then compared those to the items on a comprehensive surgical checklist called SURPASS, which is now used in several hospitals in the Netherlands.

The checklist includes things such as making sure the operating schedule is correct, checking that all equipment is available, and marking on which side of the patient the surgery is going to happen.

"While the checklist as a whole may seem a little intimidating, the separate parts for each stage of the surgical pathway take little time to complete," de Vries wrote.

They found that 29 percent of the reasons for lawsuits could be linked to a step on the checklist, such as marking the patient or communication between hospital staff.

And in four of the 10 deaths in the claims database, at least one of the contributing factors was addressed in the checklist.

While there is no guarantee the checklist would have avoided those deaths if it had been used at the time, the researchers say it would likely have prevented "a considerable amount of damage, both physical and financial."

The costs are significant.   Continued...