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Volume 360:2372-2375 May 28, 2009 Number 22
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A Surgical Safety Checklist

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by Haynes, A. B.
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To the Editor: Haynes et al. (Jan. 29 issue)1 report on a surgical safety checklist to reduce morbidity and mortality in a global population. Transferring the concept of checklists from aviation to surgery sounds intuitively sensible. However, to claim that the use of checklists can reduce the perioperative rate of death by more than 30%, based on extrapolation across a mixture of hospitals in developed and developing countries, may be misleading and counterproductive. In any case, all except one of the participating hospitals in developed countries had a preintervention rate of death that exceeded the published normal range of 0.4% . . . [Full Text of this Article]



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