The medical team at Chicago Mercy Hospital is reviewing its preoperative procedures in light of issues at other hospitals. A meeting will be held on May 22 for the surgical team to discuss adding additional steps to the preoperative checklist. The checklist currently includes verifying signed forms, completed blood tests, noted blood type, triple checking the procedure with the patient and team, and reviewed allergies. The team hopes to enhance an already thorough preoperative checklist.

1. Chicago Mercy Hospital
To: FredMédard
From: Juliette Danner
Date: February13, 2012
Subject: PREOPERATIVEPROCEDURES
At the lastmeetingof the medical team, concernwasraisedaboutthe structure of
preoperative procedures.Inlightof recentnationwide occurrencesinsome cityhospitals,
membersof the teamdecidedtoreview writtenprocedurestodetermine if additional
stepsshouldbe added.A meetingof the surgical teamhasbeensetforTuesday,May 22.
Please tryto arrange surgical schedulessoamajorityof the surgical teamcan attendthis
meeting.
Please reviewthe followingitemstodetermine where eachshouldbe positionedina
preoperative surgical checklist:
 Necessaryoperativeformsare signed—admissionsandconsentforsurgery.
 Bloodtestshave beencompleted.
 Bloodtype isnotedinpatientchart.
 Surgical procedure hasbeentriple-checkedwithpatientandsurgical team.
 All allergiesare noted inpatientchart.
 Anesthesiologisthasreviewedandinitialedpatientchart.
I am confidentthatthe medical teamwill discoverthatthe preoperative checklistisone of
the most thoroughinthe region.Anysuggestionsmade bythe medical teamwill only
enhance a superiorchecklist.
xx:ch02ex05a,Watermark
CONFIDENTIAL