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Clinical review: checklists - translating evidence into practice.

Winters BD, Gurses AP, Lehmann H, Sexton JB, Rampersad CJ, Pronovost PJ - Crit Care (2009)

Bottom Line: Yet they have tremendous potential to improve patient outcomes by democratizing knowledge and helping ensure that all patients receive evidence-based best practices and safe high-quality care.Checklist adoption has been slowed by a variety of factors, including provider resistance, delays in knowledge dissemination and integration, limited methodology to guide development and maintenance, and lack of effective technical strategies to make them available and easy to use.We describe different types of checklists using examples and explore the benefits they offer to improve care.

View Article: PubMed Central - HTML - PubMed

Affiliation: Departments of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD 21287, USA. bwinters@jhmi.edu

ABSTRACT
Checklists are common tools used in many industries. Unfortunately, their adoption in the field of medicine has been limited to equipment operations or part of specific algorithms. Yet they have tremendous potential to improve patient outcomes by democratizing knowledge and helping ensure that all patients receive evidence-based best practices and safe high-quality care. Checklist adoption has been slowed by a variety of factors, including provider resistance, delays in knowledge dissemination and integration, limited methodology to guide development and maintenance, and lack of effective technical strategies to make them available and easy to use. In this article, we explore some of the principles and possible strategies to further develop and encourage the implementation of checklists into medical practice. We describe different types of checklists using examples and explore the benefits they offer to improve care. We suggest methods to create checklists and offer suggestions for how we might apply them, using some examples from our own experience, and finally, offer some possible directions for future research.

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Checklist for anesthetic machines [9].
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Related In: Results  -  Collection


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Figure 1: Checklist for anesthetic machines [9].

Mentions: There are four principal types of checklists: static parallel, static sequential with verification, static sequential with verification and confirmation, and dynamic [8]. The differences among these checklists are the number of operators involved and the extent to which the correct action is verified. Static parallel checklists are completed by one operator (person) and executed as a series of read-and-do tasks. The anesthesia machine checklist (Figure 1) is an example of this format [9].


Clinical review: checklists - translating evidence into practice.

Winters BD, Gurses AP, Lehmann H, Sexton JB, Rampersad CJ, Pronovost PJ - Crit Care (2009)

Checklist for anesthetic machines [9].
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2811937&req=5

Figure 1: Checklist for anesthetic machines [9].
Mentions: There are four principal types of checklists: static parallel, static sequential with verification, static sequential with verification and confirmation, and dynamic [8]. The differences among these checklists are the number of operators involved and the extent to which the correct action is verified. Static parallel checklists are completed by one operator (person) and executed as a series of read-and-do tasks. The anesthesia machine checklist (Figure 1) is an example of this format [9].

Bottom Line: Yet they have tremendous potential to improve patient outcomes by democratizing knowledge and helping ensure that all patients receive evidence-based best practices and safe high-quality care.Checklist adoption has been slowed by a variety of factors, including provider resistance, delays in knowledge dissemination and integration, limited methodology to guide development and maintenance, and lack of effective technical strategies to make them available and easy to use.We describe different types of checklists using examples and explore the benefits they offer to improve care.

View Article: PubMed Central - HTML - PubMed

Affiliation: Departments of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Baltimore, MD 21287, USA. bwinters@jhmi.edu

ABSTRACT
Checklists are common tools used in many industries. Unfortunately, their adoption in the field of medicine has been limited to equipment operations or part of specific algorithms. Yet they have tremendous potential to improve patient outcomes by democratizing knowledge and helping ensure that all patients receive evidence-based best practices and safe high-quality care. Checklist adoption has been slowed by a variety of factors, including provider resistance, delays in knowledge dissemination and integration, limited methodology to guide development and maintenance, and lack of effective technical strategies to make them available and easy to use. In this article, we explore some of the principles and possible strategies to further develop and encourage the implementation of checklists into medical practice. We describe different types of checklists using examples and explore the benefits they offer to improve care. We suggest methods to create checklists and offer suggestions for how we might apply them, using some examples from our own experience, and finally, offer some possible directions for future research.

Show MeSH