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Surgical Checklists and Patient Outcomes: What's the Verdict? (1 credit Monograph)

Hours: 1.00

Target Audience: General surgeons and surgeons of all specialties. Other healthcare practitioners are welcome to participate.

Original Release Date: November 21, 2014
Review Date:
Expiration Date: November 21, 2017

Description: One in 10 patients has an adverse event in the hospital, 40% of them related to surgery. The landmark World Health Organization study of 2009 reported a 47% drop in the perioperative mortality rate with the use of the WHO surgical checklist, but subsequent studies have not reported such large improvements. The Joint Commission time-out for preventing wrong patient-wrong site surgeries has not been embraced by surgeons in the US, and questions have been raised about its effectiveness. This monograph examines why surgical checklists came about, what research studies have shown about their effectiveness, and what characteristics are associated with success or failure.

Learning Objectives: Upon completion, participants should be able to
1)    Characterize the research evidence about the impact of surgical safety checklists on patient
2)    Describe the factors associated with the failure or success of checklists.
3)    Explain the import of having each member of the surgical team identify themselves by
       name and role prior to surgery.
4)    Implement a plan to adapt a standard checklist to the needs of your institution, your
       specialty, and type of surgery.

Learning Assessment: There will be a post test for this activity with a minimum performance requirement of 4 out of 5 correct answers.

Estimated time to complete activity: 1 hour

Method and Medium: To obtain CME credit, read the entire monograph online, download to a printer and read, or download and save to your computer. Complete the evaluation and post test and print your certificate online.

CME Information - Read

CME Credit: 1.0


MOC Approved: Through the American Board of Medical Specialties ("ABMS") and Association of American Colleges' ("AAMC") joint initiative to create a wide array of Maintenance of Certification ("MOC") Activities, ' . $this->title . ' has met the MOC requirements as a Part II activity by the following ABMS Member Boards:

  • American Board of Anesthesiology
  • American Board of Colon and Rectal Surgery
  • American Board of Ophthalmology
  • American Board of Physical Medicine and Rehabilitation
  • American Board of Plastic Surgery
  • American Board of Thoracic Surgery
  • American Board of Urology



State Requirements:
Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:
Florida - This activity includes content on avoiding medical error
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

Disclosure Policy - Read

Disclosure Statement:  The authors, editors and planning committee members for this activity have no relevant financial relationships to disclose.

About the Author: Ruth Ryan and Expert Reviewers: J. Michael Conerly, MD and James W. Wade, MD - Read Bios

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management

Editor: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2014

Bibliography: To view and download a Bibliography for this presentation, please select the References button below.

Member and Subscriber Access
Interested in a CME program like this for your team or facility? Contact us to schedule it and talk about pricing.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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