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Solving Retained Sponges With Barcodes
- A persistent ~1-in-1,500 sponge rate led Gawande's team to study 60 cases and 240 controls to find counting was fallible.
- They solved it cheaply with barcode scanning and near-eliminated retained sponges.
Use Short, Locally Tailored Checklists
- Tailor checklists to local workflow and keep them brief so teams actually use them in 60 seconds or less.
- Ensure clinical teams design the checklist to prevent it becoming a meaningless administrative tick-box.
Health Coverage Benefits Accrue Over Time
- Expanded coverage increases access to many services and shows mortality benefits over longer follow-up.
- Benefits concentrate in chronic, primary, and mental health care and accrue over years, not months.