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The British Cardiovascular Society (BCS) Cardiac
The British Cardiovascular Society (BCS) Cardiac
The British Cardiovascular Society (BCS) Cardiac
Dr. Tom Cahill & Dr. Rod Stables. This article is reprinted with permission from the British Cardiovascular Keywords
Society and Dr. Tom Cahill. Copyright is the property of BCS, which can be found online at
Cath Lab Management
http://www.bcs.com.
Introduction
The BCS cath lab checklist seeks to guide staff in the performance of key safety checks for
patients undergoing invasive procedures in the cardiac catheterisation laboratory. The checklist also provides a framework for
conducting a “team brief” for all members of the clinical team.
The basic design reflects the core activities of cardiac catheterization, coronary intervention, pacing, and electrophysiology. The
form can, however, be customised to allow flexibility in focus, content, and use (see below). The fixed content is our
interpretation of the balance between being comprehensive and maintaining ease of use.
There are two versions available: a standalone checklist for use in the catheter laboratory starting immediately pre-procedure
(Figure 1) and an integrated checklist, which covers patient preparation on the ward areas as well as the procedural phase
(Figure 2). The integrated checklist does not seek to replace a formal integrated care pathway, but is a distinct tool with specific
emphasis on improving patient safety in the catheter laboratory environment.
Our guidance on implementation and practical use is intentionally brief — what works in one hospital may create problems in
another. We suggest appointing a local checklist champion who can oversee customisation, maintain “version control,” and guide
implementation on the ground. The content of the local form may evolve over time, with sequential modification in response to
practical experience. It may be best to defer a formal print run until the ideal content is agreed.
Electronic versions of both checklists will follow shortly, to allow “on-screen” completion using a tablet or computer and facilitating
direct upload to a patient’s electronic record.
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