Add-on Case and the Missing Checklist
Because the plan to biopsy a large gastric mass concerning for malignancy was not conveyed to the hospitalist caring for the patient, she was not made NPO, nor was her anticoagulant medication stopped. The nurse anesthetist performing the preanesthesia checklist noted she received her anticoagulation that morning but did not notify the gastroenterologist. The patient had postprocedural bleeding. Ken Catchpole, PhD, of Medical University of South Carolina, reviews how interdisciplinary rounding, preoperative timeouts, and combining checklists with teamwork training can help ensure providers have necessary discussions regarding patient care needs.