Checklists post-operative

Watching teams and teamwork quickly reveals that a group of weU intentioned individuals does not make a team and furthermore, that teamwork has to be planned and organized. In this section we will review some apparently simple interventions, which turn out to have quite profound effects. Daily goals, preoperative and post-operative checklists seem mundane, and this partly accounts for clinicians resistance to their use. However, a checklist is not a piece of paper or even a list it is a team intervention which, used well, can affect the wider team functioning, the relationships across professions and hierarchies and even the values and safety culture of the team. To my mind, the impact of these simple tools on clinical processes and patient outcome suggests that their effect can only be fully understood by appreciating their wider impact on team performance. 

At gas manufacturing facilities a checklist or operating procedures should be posted or available to guide those who fill containers. Procedures will vary depending on the type of cylinder and product (for example, high pressure compressed gas cylinders versus liquefied compressed gases). The checklist questions to answer should include ... 

In addition, the reviewers recommended the following (1) Hang phosgene indicator paper around the hood, room, and operating areas (this paper is normally white but turns brown when exposed to 0.1 ppm of phosgene), (2) use a safety checklist, daily, before the process is started, and (3) post an up-to-date process sketch near the process. 

Operator maintenance of the equipment can normally be performed by service personnel. However, pre- and post-run routine operator maintenance should be performed by the user. This includes checking drive oil levels, overspeed disks, water pressure, tube gaskets and O rings (including lubrication), etc. Users who are not familiar with the pre-run checklist must read the manual. Because of the extreme hazard that results if ultracentrifuges are misused, a training program may be needed... 

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