The medical team at Chicago Mercy Hospital is reviewing their preoperative procedures in light of issues at other hospitals. A meeting will be held on May 22nd to discuss potential additions to the written preoperative checklist. The surgical team is asked to review items that should be included on the checklist, such as signed consent forms, completed blood tests, noted blood type and allergies, and review by the anesthesiologist. The team hopes to create one of the most thorough preoperative checklists in the region.

1. CHICAGO MERCY HOSPITAL
To: Fred Médard
From: Juliette Danner
Date: February 26, 2013
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.
dcm
CONFIDENTIAL