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Chicago Mercy Hospital
       To:     Fred Médard
       From:   Juliette Danner
       Date:   May 17, 2008
       Re:     PREOPERATIVE PROCEDURES




       At the last meeting of the medical team, concern was raised about the structure of
       preoperative procedures. In light of recent nationwide occurrences in some city hospitals,
       members of the team decided to review written procedures to determine if additional
       steps should be added. A meeting of the surgical team has been set for Tuesday, May 22.
       Please try to arrange surgical schedules so a majority of the surgical team can attend this
       meeting.

       Please review the following items to determine where each should be positioned in a
       preoperative surgical checklist:

                  Necessary operative forms are signed—admissions and consent for surgery.
                  Blood tests have been completed.
                  Blood type is noted in patient chart.
                  Surgical procedure has been triple-checked with patient and surgical team.
                  All allergies are noted in patient chart.
                  Anesthesiologist has reviewed and initialed patient chart.

       I am confident that the medical team will discover that the preoperative checklist is one of
       the most thorough in the region. Any suggestions made by the medical team will only
       enhance a superior checklist.

       mtm:ch02ex05a, Watermark




CONFIDENTIAL

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C02ex05a, watermark

  • 1. Chicago Mercy Hospital To: Fred Médard From: Juliette Danner Date: May 17, 2008 Re: PREOPERATIVE PROCEDURES At the last meeting of the medical team, concern was raised about the structure of preoperative procedures. In light of recent nationwide occurrences in some city hospitals, members of the team decided to review written procedures to determine if additional steps should be added. A meeting of the surgical team has been set for Tuesday, May 22. Please try to arrange surgical schedules so a majority of the surgical team can attend this meeting. Please review the following items to determine where each should be positioned in a preoperative surgical checklist:  Necessary operative forms are signed—admissions and consent for surgery.  Blood tests have been completed.  Blood type is noted in patient chart.  Surgical procedure has been triple-checked with patient and surgical team.  All allergies are noted in patient chart.  Anesthesiologist has reviewed and initialed patient chart. I am confident that the medical team will discover that the preoperative checklist is one of the most thorough in the region. Any suggestions made by the medical team will only enhance a superior checklist. mtm:ch02ex05a, Watermark CONFIDENTIAL