Modern overhaul of the Pre-CPB checklist: Leveraging live data capture to replace yes/no checklist design.
Introduction: Standard "yes/no"' checklists fail to meet their purported goals of enhancing patient safety because they enable inattentive completion and complacency. The mere presence of a check mark is a measure of compliance, not task completion. While perfusion equipment has become vastly more s...
| Publicado en: | Perfusion Vol. 41; no. 3; pp. 351 - 359 |
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| Autores principales: | , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Sage Publications, Ltd.
Apr2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192655814&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192655814 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02676591 31J jtl: Perfusion issn: 02676591 maglogo: N pubinfo: dt: Apr2026 vid: 41 iid: 3 pid: 33180 pub: Sage Publications, Ltd. place: <Blank> artinfo: ui: 192655814 186440388 192655814 192655814 10.1177/02676591251359895 192655814 ppf: 351 ppct: 8 formats: tig: atl: Modern overhaul of the Pre-CPB checklist: Leveraging live data capture to replace yes/no checklist design. aug: au: Vespe, Michael W Stone, Marc E Lewis, Joseph affil: Icahn School of Medicine at Mount Sinai, New York, NY, USA sug: subj: Checklists Standards Task Performance and Analysis Cardiopulmonary Bypass Methods Perfusion Electronic Health Records Documentation Program Implementation Patient Safety Quality Improvement Root Cause Analysis Commitment Workflow Decision Making, Clinical Cardiac Surgery ab: Introduction: Standard "yes/no"' checklists fail to meet their purported goals of enhancing patient safety because they enable inattentive completion and complacency. The mere presence of a check mark is a measure of compliance, not task completion. While perfusion equipment has become vastly more sophisticated with Electronic Medical Record (EMR) capability, digital pre-cardiopulmonary bypass (CPB) checklists remain identical to their ineffective paper predecessor. Methods: We detail a novel pre-CPB checklist framework that integrates the aviation industry's principles of Condition-Based Monitoring (CBM) with the pre-CPB checklist to evaluate the functionality of the heart-lung machine (HLM) based on the predictability of its performance. Live data capture records all pump data during the CBM-checklist test and documents the results directly into the intraoperative record. Results: The perfusionist demonstrates the pump is "functional and appropriate" when the CBM checklist tasks produce measured parameters that fall within defined expected ranges. Deviations from "normal values" become immediately apparent and direct the perfusionist's attention toward potential problems, thereby encouraging proactive intervention. Discussion: Leveraging EMR to produce accurate checklist documentation aligns compliance efforts with informed root cause analysis and genuine quality improvement. The recorded CBM checklist redefines transparency and strengthens perfusionists' commitment to quality by prioritizing accountability and promoting a "Just Culture". pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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