Education  |   August 2017
Operating Room Crisis Checklists and Emergency Manuals
Author Notes
  • From the Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, Massachusetts (D.L.H., A.F.A., A.M.B.); Center for Surgery and Public Health, Boston, Massachusetts (D.L.H., A.M.B.); Ariadne Labs, Boston, Massachusetts (D.L.H., W.R.B.); University of Pennsylvania Health System, Philadelphia, Pennsylvania (A.F.A.); Penn Center for Perioperative Outcomes Research and Transformation (CPORT), Philadelphia, Pennsylvania (A.F.A.); Department of Anesthesia, Critical Care and Pain Medicine, Massachusetts General Hospital, Boston, Massachusetts (J.B.C.); Center for Medical Simulation, Cambridge, Massachusetts (J.B.C.); Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, California (S.N.G.-F., D.M.G.); Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts (W.R.B., A.M.B.); and Boeing Aircraft, Seattle, Washington (D.J.B.).
  • This article is featured in “This Month in Anesthesiology,” page 1A.
    This article is featured in “This Month in Anesthesiology,” page 1A.×
  • Figures 1 and 2 were enhanced by Annemarie B. Johnson, C.M.I., Medical Illustrator, Vivo Visuals, Winston-Salem, North Carolina.
    Figures 1 and 2 were enhanced by Annemarie B. Johnson, C.M.I., Medical Illustrator, Vivo Visuals, Winston-Salem, North Carolina.×
  • Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal’s Web site (www.anesthesiology.org).
    Supplemental Digital Content is available for this article. Direct URL citations appear in the printed text and are available in both the HTML and PDF versions of this article. Links to the digital files are provided in the HTML text of this article on the Journal’s Web site (www.anesthesiology.org).×
  • Submitted for publication July 13, 2016. Accepted for publication March 23, 2017.
    Submitted for publication July 13, 2016. Accepted for publication March 23, 2017.×
  • Address correspondence to Dr. Hepner: Brigham and Women’s Hospital, 75 Francis Street, Boston, Massachusetts 02115. dhepner@bwh.harvard.edu Information on purchasing reprints may be found at www.anesthesiology.org or on the masthead page at the beginning of this issue. Anesthesiology’s articles are made freely accessible to all readers, for personal use only, 6 months from the cover date of the issue.
Article Information
Education / Clinical Concepts and Commentary / Critical Care / Patient Safety / Quality Improvement
Education   |   August 2017
Operating Room Crisis Checklists and Emergency Manuals
Anesthesiology 8 2017, Vol.127, 384-392. doi:10.1097/ALN.0000000000001731
Anesthesiology 8 2017, Vol.127, 384-392. doi:10.1097/ALN.0000000000001731
THERE is a growing movement toward the effective use of checklists, emergency manuals, and other cognitive aids in the operating room, both for routine and crisis situations. Crisis checklists are one type of cognitive aid that help a team remember critical steps during a crisis. A collection of cognitive aids for emergency use is referred to as an emergency manual. This article describes the history of operating room crisis resource management and its influence on the development of operating room crisis checklists and emergency manuals. We also explore current and future directions for work in crisis checklists and emergency manuals, including efforts to spread and improve clinical implementation. Understanding the history and interrelationship of these important emerging topics in anesthesiology will be essential for the successful development and implementation of processes to improve perioperative patient safety.
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