Chicago Mercy Hospital

To: Fred Médard

From: Juliette Danner

Date: February 26, 2012

Subject : 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. imp:ch02ex05a, Watermark

CONFIDENTIAL