terça-feira, junho 14, 2011

O poder das checklists

Já várias vezes tinha lido sobre este exemplo do poder das checklists mas nunca tinha visto os números concretos:
"If you ever need a catheter line, try to remember the work of Dr. Peter Pronovost. He's a critical-care doctor at John Hopkins Hospital, and he developed this simple checklist for medical staff to prevent infections from catheter lines:
  • Wash hands with soap
  • Clean the patient's skin with chlorhexidine antiseptic
  • Put sterile drapes over the entire patient
  • Wear a sterile mask, hat, gown, and gloves
  • Put a sterile dressing over the catheter site
Pronovost asked the nurses in the Johns Hopkins intensive care unit to monitor if doctors skipped at least one step when treating more than 33 percent of the patients. Then he persuaded the hospital administration to allow the nurses to stop doctors if they did not adhere to the list and to ask doctors everyday if the catheter line was still necessary.
The results were dramatic. Line infections declined from 11 percent to 0 percent. In a 15 month period, the study showed that this checklist and the new role of nurses prevented 43 infections, 8 deaths, and saved $2 million."
Em quantas situações numa PME é possível incorporar checklists?
Trecho retirado de "Enchantment" de Guy Kawasaki

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