RESUMO
Checklists have established themselves as a key safety process in the operating room environment. This paper describes the background and context of how checklists have evolved in medicine. It also highlights ongoing challenges with particular attention to the importance of nontechnical skills or human factors training with relation to checklist design, testing and implementation and ongoing coaching.
Assuntos
Lista de Checagem/métodos , Salas Cirúrgicas/organização & administração , Anestesia , Lista de Checagem/normas , Cuidados Críticos , Humanos , Erros Médicos/prevenção & controle , Segurança do Paciente , Controle de Qualidade , Gestão da SegurançaRESUMO
Congenital high airway obstruction syndrome (CHAOS) is one indication for the ex utero intrapartum treatment (EXIT), which is used to secure the fetal airway, while fetal oxygenation is maintained by uteroplacental circulation. We report a successful EXIT procedure in a twin gestation in which one child had CHAOS while the other was a healthy child without any congenital abnormalities. After version of Twin B to allow for delivery of Twin A, Twin B underwent airway evaluation and tracheostomy for laryngeal atresia prior to delivery.