Checklist formats

On Mar 28, 12:17*am, "kirk.stant" wrote:
Kirk,
Did you read:http://www.newyorker.com/reporting/2...a_fact_gawande

Here is a quote-
"Line infections are so common that they are considered a routine
complication. I.C.U.s put five million lines into patients each year,
and national statistics show that, after ten days, four per cent of
those lines become infected. Line infections occur in eighty thousand
people a year in the United States, and are fatal between five and
twenty-eight per cent of the time, depending on how sick one is at the
start."

OK, now here are the steps-
(1) wash hands with soap,
(2) clean the patient’s skin with chlorhexidine antiseptic,
(3) put sterile drapes over the entire patient,
(4) wear a sterile mask, hat, gown, and gloves, and
(5) put a sterile dressing over the catheter site once the line is in.

Clearly these are simple, easy to remember things that don't need a
checklist. But they started using a checklist anyway-

"the ten-day line-infection rate went from eleven per cent to zero. So
they followed patients for fifteen more months. Only two line
infections occurred during the entire period. They calculated that, in
this one hospital, the checklist had prevented forty-three infections
and eight deaths, and saved two million dollars in costs."

Agree with most of your comments, BTW, but checklists are sometimes
useful for even the simple things.

Brian

Sorry, that's not a checklist, that a procedure.

And reading some of the "checklists" I see on RAS, they are also more
"procedures" instead of checklists.

WUFSTALL is getting awfully close to a procedure for me.

Kirk
66

Oh, good grief! It's a simple glider, not an airliner.

If you can't tell that you have a load of water on board, maybe you
shouldn't be flying with water (or at all!). The control feel is
entirely different.

Same for flaps.

Test the spoilers? Why? You'll know as soon as you try to open them
and can alter your pattern then. If that's too complex, maybe you
shouldn't be flying.

Check the wind? You mean that you aren't constantly aware of the wind
direction and speed? Drift, crab? Should you really be up there
alone?

Check trim? Have you been holding constant pressure on the stick?
Can't you land with trim locked at either extreme? Should you be
flying?

I could go on and on, but to what end?

When I flew at Bond Springs, NT, Australia, their before takeoff
checklist mnemonic was: CHAOTIC. What the heck did that mean? I
couldn't remember during the time I was flying there, much less now!

In my AF days before takeoff we said: "All shiny switches - Outboard"
and before landing it was: "Muff 91, gear check, full stop."

I haven't damaged an aircraft in 38 years of flying. I know, some
day...

(Flame suit on)