In this particular chapter, Mr. Gawande found three cases out of five where the checklist was not been used and found that we had missed something. In one of the surgery, the patient did not get the antibiotic before the incision and, fortunately, the surgeon performing the operation asked if the antibiotic was given within the last six minutes by reading the lines written on the wall poster. The anesthetist had discovered that they had missed giving the patient antibiotic. In another case the patient had specifically said that she did not want antibiotic as it gave her intestinal upset and yeast infection, however, the infection chances were negligible and the patient was willing to take chances. As the anesthetist was unaware of …show more content…
When the incision was about to happen at that time the nurse reminded that not to give the antibiotic because of the problems she faced after the surgery in her earlier case. If the nurse would not have been there in the earlier conversation then the doctor was about to give her a drip. In the last case, the patient was suffering from thyroid and it had to be removed because of potential cancer. She met the anesthesiologist before surgery and told him about the breathing problems she faced during her previous couple of operations and she had required additional oxygen for several weeks and in another instance she was shifted to intensive care because of lack of oxygen. However, the surgeon who was about to perform the surgery was unaware of the patients problem before they went through the checklist. At that time, the anesthesiologist told the whole story for the patient’s respiratory problem and they made arrangements to keep the patient under the observation and gave her