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Nurses Outsmart Surgeons When It Comes Safety And Team Wok

were presented to all OR caregivers in a Catholic health system comprising 60 hospitals in 16 states during July and August 2004. Results were gathered from 222 surgeons, 1,058 OR nurses, 564 surgical technicians, 170 anesthesiologists and 121 CRNAs. On each question on teamwork, participants were asked to rate themselves and their peer groups on a scale of 1 (very low) to 5 (very high). The overall response rate was 77.1 percent.

'The results have already led to improvements in the OR,' says Makary. 'Before every operation, we now require a presurgery checklist similar to what pilots do before take-off. This not only minimizes errors but also improves teamwork.' Makary says 700 hospitals are already using the survey, and he expects to see more adapting it in the near future.


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