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Alexander, Harry C., Scott JP McLaughlin, Robert H. Thomas, and Alan F. Merry. "Checklists for image-guided interventions: a systematic review." British Journal of Radiology 94, no. 1121 (May 1, 2021): 20200980. http://dx.doi.org/10.1259/bjr.20200980.
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Objectives: Safety checklists have improved safety in patients undergoing surgery. Checklists have been designed specifically for use in image-guided interventions. This systematic review aimed to identify checklists designed for use in radiological interventions and to evaluate their efficacy for improving patient safety. Secondary aims were to evaluate attitudes toward checklists and barriers to their use. Methods: OVID, MEDLINE, CENTRAL and CINAHL were searched using terms for “interventional radiology” and “checklist”. Studies were included if they described pre-procedural checklist use in vascular/body interventional radiology (IR), paediatric IR or interventional neuro-radiology (INR). Data on checklist design, implementation and outcomes were extracted. Results: Sixteen studies were included. Most studies (n = 14, 87.5%) focused on body IR. Two studies (12.5%) measured perioperative outcome after checklist implementation, but both had important limitations. Checklist use varied between 54 and 100% and completion of items on the checklists varied between 28 and 100%. Several barriers to checklist use were identified, including a lack of leadership and education and cultural challenges unique to radiology. Conclusions: We found few reports of the use of checklists in image-guided interventions. Approaches to checklist implementation varied, and several barriers to their use were identified. Evaluation has been limited. There seems to be considerable potential to improve the effective use of checklists in radiological procedures. Advances in knowledge: There are few reports of the use of checklists in radiological interventions, those identified reported significant barriers to the effective use of checklists.
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Boritz, J. Efrim, and Lev M. Timoshenko. "On the Use of Checklists in Auditing: A Commentary." Current Issues in Auditing 8, no. 1 (February 1, 2014): C1—C25. http://dx.doi.org/10.2308/ciia-50741.
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SUMMARYExperimental studies concerning fraud (or “red flag”) checklists often are interpreted as providing evidence that checklists are dysfunctional because their use yields results inferior to unaided judgments (Hogan et al. 2008). However, some of the criticisms leveled against checklists are directed at generic checklists applied by individual auditors who combine the cues using their own judgment. Based on a review and synthesis of the literature on the use of checklists in auditing and other fields, we offer a framework for effective use of checklists that incorporates the nature of the audit task, checklist design, checklist application, and contextual factors. Our analysis of checklist research in auditing suggests that improvements to checklist design and to checklist application methods can make checklists more effective. In particular, with regard to fraud risk assessments, customizing checklists to fit both client circumstances and the characteristics of the fraud risk assessment task, along with auditor reliance on formal cue-combination models rather than on judgmental cue combinations, could make fraud checklists more effective than extant research implies.
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Forristal, C., K. Hayman, N. Smith, S. Mal, M. Columbus, N. Farooki, S. McLeod, K. Van Aarsen, and D. Ouellette. "LO43: Perceptions of airway checklists and the utility of simulation in their implementation emergency medicine practitioner perspectives." CJEM 20, S1 (May 2018): S21—S22. http://dx.doi.org/10.1017/cem.2018.105.
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Introduction: Checklists used during intubation have been associated with improved patient safety. Since simulation provides an effective and safe learning environment, it is an ideal modality for training practitioners to effectively employ an airway checklist. However, physician attitudes surrounding the utility of both checklists and simulation may impede the implementation process of airway checklists into clinical practice. This study sought to characterize attitudinal factors that may impact the implementation of airway checklists, including perceptions of checklist utility and simulation training. Methods: Emergency medicine (EM) residents and physicians working more than 20 hours/month in an emergency department from two academic centres were invited to participate in a simulated, randomized controlled trial (RCT) featuring three scenarios performed with or without the use of an airway checklist. Following participation in the scenarios, participants completed either a 26-item (control group), or 35-item (checklist group) paper-based survey comprised of multiple-choice, Likert-type, rank-list and open-ended questions exploring their perceptions of the airway checklist (checklist group only) and simulation as a learning modality (all participants). Results: Fifty-four EM practitioners completed the questionnaire. Most control group participants (n=24/25, 96.0%) believed an airway checklist would have been helpful (scored 5/7 or greater) for the scenarios. The majority of checklist group participants (n=29) believed that the checklist was helpful for equipment (27, 93.1%) and patient (26, 89.6%) preparation, and post-intubation care (21, 82.8%), but that the checklist delayed definitive airway management and was not helpful for airway assessment, medication selection, or choosing to perform a surgical airway. This group also believed that using the airway checklist would reduce errors during intubation (27, 93.1%) and that the simulated scenarios were beneficial for adopting the use of the checklist (28, 96.6%). Fifty-three participants (98.1%) believed that simulation is beneficial for continuing medical education and 51 respondents (94.4%) thought that skills learned in this simulation were transferable. Conclusion: EM practitioners participating in a simulation-based RCT of an airway checklist had positive attitudes towards both the utility of airway checklists and simulation as a learning modality. Thus, simulation may be an effective process to train practitioners to use airway checklists prior to clinical implementation.
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Graber, Mark L., Asta V. Sorensen, Jon Biswas, Varsha Modi, Andrew Wackett, Scott Johnson, Nancy Lenfestey, Ashley N. D. Meyer, and Hardeep Singh. "Developing checklists to prevent diagnostic error in Emergency Room settings." Diagnosis 1, no. 3 (September 1, 2014): 223–31. http://dx.doi.org/10.1515/dx-2014-0019.
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AbstractChecklists have been shown to improve performance of complex, error-prone processes. To develop a checklist with potential to reduce the likelihood of diagnostic error for patients presenting to the Emergency Room (ER) with undiagnosed conditions.Participants included 15 staff ER physicians working in two large academic centers. A rapid cycle design and evaluation process was used to develop a general checklist for high-risk situations vulnerable to diagnostic error. Physicians used the general checklists and a set of symptom-specific checklists for a period of 2 months. We conducted a mixed methods evaluation that included interviews regarding user perceptions and quantitative assessment of resource utilization before and after checklist use.A general checklist was developed iteratively by obtaining feedback from users and subject matter experts, and was trialed along with a set of specific checklists in the ER. Both the general and the symptom-specific checklists were judged to be helpful, with a slight preference for using symptom-specific lists. Checklist use commonly prompted consideration of additional diagnostic possibilities, changed the working diagnosis in approximately 10% of cases, and anecdotally was thought to be helpful in avoiding diagnostic errors. Checklist use was prompted by a variety of different factors, not just diagnostic uncertainty. None of the physicians used the checklists in collaboration with the patient, despite being encouraged to do so. Checklist use did not prompt large changes in test ordering or consultation.In the ER setting, checklists for diagnosis are helpful in considering additional diagnostic possibilities, thus having potential to prevent diagnostic errors. Inconsistent usage and using the checklists privately, instead of with the patient, are factors that may detract from obtaining maximum benefit. Further research is needed to optimize checklists for use in the ER, determine how to increase usage, to evaluate the impact of checklist utilization on error rates and patient outcomes, to determine how checklist usage affects test ordering and consultation, and to compare checklists generally with other approaches to reduce diagnostic error.
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Mosier, Kathleen L., Everett A. Palmer, and Asaf Degani. "Electronic Checklists: Implications for Decision Making." Proceedings of the Human Factors Society Annual Meeting 36, no. 1 (October 1992): 7–11. http://dx.doi.org/10.1177/154193129203600104.
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Checklists are a way of life on the flight deck, and, undoubtedly, are indispensable decision aids due to the volume of technical knowledge that must be readily accessible. The improper use of checklists, however, has been cited as a factor in several recent aircraft accidents (National Transportation Safety Board, 1988, 1989, 1990). Solutions to checklist problems, including the creation of electronic checklist systems which keep track of skipped items, may solve some problems but create others. In this paper, results from a simulation involving an engine shutdown are presented, and implications of the electronic checklist and “memory” checklist are discussed, in terms of potential errors and effects on decision making. Performance using two types of electronic checklist systems is compared with performance using the traditional paper checklist. Additionally, a “performing from memory” condition is compared with a “performing from the checklist” condition. Results suggest that making checklist procedures more automatic, either by asking crews to accomplish steps from memory, or by checklists that encourage crews to rely on system state as indicated by the checklist, rather than as indicated by the system itself, will discourage information gathering, and may lead to dangerous operational errors.
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Brassil, Donna, Roger Vaughan, Arlene Hurley, Kathleen Dowd, Richard Hutt, and Barry S. Coller. "4235 The Use of Checklists Throughout the Lifecourse of a Clinical Research Study: The Rockefeller University Checklist Suite." Journal of Clinical and Translational Science 4, s1 (June 2020): 69. http://dx.doi.org/10.1017/cts.2020.227.
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OBJECTIVES/GOALS: We have developed a comprehensive Translational Research Navigation Program to guide investigators all the way from protocol development through study closure. As the program evolved, we initially developed organizational tools and then restructured them into a series of checklists to ensure that critical elements were not excluded or duplicated. METHODS/STUDY POPULATION: A series of checklists to assure that all research elements, including regulatory, scientific, and institutional, are addressed from protocol inception through study closure were developed by clinical research coordinators/navigators. The checklists are periodically updated and modified to reflect changing local and national regulations and policies. The first tool became the “Protocol Development Checklist” and then additional tools were developed and modified into a suite of navigation checklists that include “Protocol Implementation Checklist,” “Protocol Conduct Checklist,” and “Protocol Completion Checklist.” RESULTS/ANTICIPATED RESULTS: The checklists have been incorporated into the Translational Research Navigation Program and have enhanced the organization and quality of protocols throughout their lifespan. For example, implementation of the Protocol Development Checklist resulted in a reduction in time to IRB approval (currently 10 days), and implementation of the Protocol Implementation Checklist has impacted the time from IRB approval to study start-up. The Protocol Conduct Checklist has aided investigators in being better prepared and more organized for study conduct activities and the Protocol Closure Checklist has assured timely protocol closure and regulatory compliance, including reporting to ClinicalTrials.gov. DISCUSSION/SIGNIFICANCE OF IMPACT: Protocol checklists are powerful tools to enhance thoroughness, organization, and quality of the clinical research process. The Rockefeller University protocol checklists are available to the CTSA and Scientific Communities. CONFLICT OF INTEREST DESCRIPTION: NA.
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Dryver, Eric, Jakob Lundager Forberg, Caroline Hård af Segerstad, William D. Dupont, Anders Bergenfelz, and Ulf Ekelund. "Medical crisis checklists in the emergency department: a simulation-based multi-institutional randomised controlled trial." BMJ Quality & Safety 30, no. 9 (February 17, 2021): 697–705. http://dx.doi.org/10.1136/bmjqs-2020-012740.
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BackgroundStudies carried out in simulated environments suggest that checklists improve the management of surgical and intensive care crises. Whether checklists improve the management of medical crises simulated in actual emergency departments (EDs) is unknown.MethodsEight crises (anaphylactic shock, life-threatening asthma exacerbation, haemorrhagic shock from upper gastrointestinal bleeding, septic shock, calcium channel blocker poisoning, tricyclic antidepressant poisoning, status epilepticus, increased intracranial pressure) were simulated twice (once with and once without checklist access) in each of four EDs—of which two belong to an academic centre—and managed by resuscitation teams during their clinical shifts. A checklist for each crisis listing emergency interventions was derived from current authoritative sources. Checklists were displayed on a screen visible to all team members. Crisis and checklist access were allocated according to permuted block randomisation. No team member managed the same crisis more than once. The primary outcome measure was the percentage of indicated emergency interventions performed.ResultsA total of 138 participants composing 41 resuscitation teams performed 76 simulations (38 with and 38 without checklist access) including 631 interventions. Median percentage of interventions performed was 38.8% (95% CI 35% to 46%) without checklist access and 85.7% (95% CI 80% to 88%) with checklist access (p=7.5×10−8). The benefit of checklist access was similar in the four EDs and independent of senior physician and senior nurse experience, type of crisis and use of usual cognitive aids. On a Likert scale of 1–6, most participants agreed (gave a score of 5 or 6) with the statement ‘I would use the checklist if I got a similar case in reality’.ConclusionIn this multi-institution study, checklists markedly improved local resuscitation teams’ management of medical crises simulated in situ, and most personnel reported that they would use the checklists if they had a similar case in reality.
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Rosyidah, Nur Fajriyah, Eri Yanuar Akhmad Budi Sunaryo, and Totok Harjanto. "Interrater Reliability dari Checklist OSCE Keterampilan Mencuci Tangan dan Memakai Sarung Tangan di Program Studi Ilmu Keperawatan UGM." Jurnal Keperawatan Klinis dan Komunitas 2, no. 3 (July 7, 2022): 145. http://dx.doi.org/10.22146/jkkk.44249.
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Background: Objective Structured Clinical Examination (OSCE) is a method to evaluate students’ nursing skills. OSCE uses checklist as an instrument to test hand washing and gloving skills. While reliability values of both checklists are vital aspect for the instrument, they have not been measured in PSIK FKKMK UGM.Objective: To identify the interrater reliability in the hand washing and gloving skills of OSCE checklists at PSIK FKKMK UGM.Method: This research used non-experimental descriptive quantitative research type with cross-sectional design. The respondents were 92 first-year students at PSIK FKKMK UGM participating in the OSCE examination. Assessment on students performance were conducted using hand washing and gloving checklists by two raters. The scores were analyzed using Kappa and percent agreement (PA).Result: Hand washing checklist had Kappa value of 0,146 (quite poor) and PA 80,40% (acceptable). Gloving checklist had Kappa value of 0,228 (poor) and PA 78,20% (acceptable). The results were divided into two categories, first Kappa not acceptable and PA acceptable or called Kappa paradox consisting of 14 checklist items. Furthermore, there were 11 checklist items in the second category namely Kappa not acceptable and PA not acceptable.Conclusion: Hand washing and gloving skill checklists which are used by PSIK FKKMK UGM do not possess good interrater reliability in measuring the skills of nursing students. These checklists need revision and statistical test in order to improve education quality at School of Nursing at FKKMK UGM.ABSTRAKLatar belakang: Salah satu metode untuk mengevaluasi keterampilan keperawatan mahasiswa adalah menggunakan Objective Structured Clinical Examination (OSCE). Instrumen yang dapat digunakan dalam OSCE adalah checklist. Reliabilitas merupakan aspek penting dalam suatu instrumen. Pengujian reliabilitas dari checklist mencuci tangan dan memakai sarung tangan di PSIK FKKMK UGM belum pernah dilakukan.Tujuan: Untuk mengetahui interrater reliability pada checklist OSCE keterampilan mencuci tangan dan memakai sarung tangan di PSIK FKKMK UGM.Metode: Penelitian ini merupakan jenis penelitian deskriptif kuantitatif non-eksperimental dengan rancangan penelitian cross-sectional. Responden pada penelitian adalah 92 mahasiswa PSIK FKKMK UGM tahun pertama yang mengikuti ujian OSCE. Penilaian performa mahasiswa dilakukan menggunakan instrumen checklist mencuci tangan dan memakai sarung tangan oleh dua orang penguji. Hasil penelitian dianalisis menggunakan Kappa dan percent agreement (PA).Hasil: Checklist mencuci tangan memiliki nilai Kappa 0,146 (cukup buruk) dan PA 80,40% (dapat diterima). Checklist memakai sarung tangan memiliki nilai Kappa 0,228 (buruk) dan PA 78,20% (dapat diterima). Terdapat 14-unit checklist yang masuk dalam kategori Kappa tidak dapat diterima, namun PA dapat diterima (paradoks Kappa). Terdapat 11-unit checklist yang masuk dalam kategori Kappa dan PA tidak dapat diterima.Kesimpulan: Checklist keterampilan mencuci tangan dan memakai sarung tangan di PSIK FKKMK UGM belum memiliki interrater reliability yang baik dalam mengukur keterampilan mahasiswa. Checklist tersebut memerlukan perbaikan untuk menghasilkan reliabilitas baik demi kualitas pendidikan di Program Studi Ilmu Keperawatan FKKMK UGM yang lebih baik.
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Baez, Jessica, Elizabeth Powell, Megan Leo, Uwe Stolz, and Lori Stolz. "Derivation of a procedural performance checklist for ultrasound-guided femoral arterial line placement using the modified Delphi method." Journal of Vascular Access 21, no. 5 (February 7, 2020): 715–22. http://dx.doi.org/10.1177/1129729820904872.
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Background: Many specialties utilize procedural performance checklists as an aid to teach residents and other learners. Procedural checklists ensure that the critical steps of the desired procedure are performed in a specified manner every time. Valid measures of competency are needed to evaluate learners and ensure a standard quality of care. The objective of this study was to employ the modified Delphi method to derive a procedural checklist for use during placement of ultrasound-guided femoral arterial access. Methods: A 27-item procedural checklist was provided to 14 experts from three acute care specialties. Using the modified Delphi method, the checklist was serially modified based on expert feedback. Results: Three rounds of the study were performed resulting in a final 23-item checklist. Each item on the checklist received at least 70% expert agreement on its inclusion in the final checklist. Conclusion: A procedural performance checklist was created for ultrasound-guided femoral arterial access using the modified Delphi method. This is an objective tool to assist procedural training and competency assessment in a variety of clinical and educational settings.
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Alam, Faisal, Rizwan Ashraf, Kyaw Sein, and Terri Feeney. "Audit of compliance with WHO surgical safety checklist (modified for electroconvulsive therapy including NPSA advice)." BJPsych Open 7, S1 (June 2021): S64. http://dx.doi.org/10.1192/bjo.2021.213.
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AimsThis audit aims to evaluate the compliance with the WHO surgical safety checklist during the electroconvulsive therapy treatment in ECT clinic at Greater Manchester Mental Health Bolton Directorate. The audit is based on WHO surgical safety checklist modified for ECT including National Patient Safety Agency advice. The goal is to improve the compliance and in turn improve clinical outcomes.BackgroundThe WHO surgical safety checklist (modified for Electroconvulsive therapy including NPSA advice) is devised to promote patient safety, improve teamwork, reduce errors/adverse events and improve overall quality of care. An audit was completed regarding the compliance with the safety checklist at the Bolton ECT clinic and to assess how this could be improved.MethodFollowing approval from the clinical audit department, GMMH NHS Foundation Trust, 20 checklists from randomly selected patient ECT files were included in this audit. We looked at whether the checklists were completed, signed and dated. Our current WHO surgical safety checklist is as per the Electroconvulsive therapy accreditation service standards.ResultA total of 20 WHO surgical safety checklists were reviewed. 95% of the checklists (19/20) were completed by the duty Psychiatrist. 1 form was not completed. 25% (5/20) were not signed rendering them invalid. A total of 75% checklists were complete and valid. Checklists were present in all the case notes.ConclusionCompliance with the WHO surgical safety checklist during the electroconvulsive therapy treatment can be challenging due to various reasons ranging from time pressure to difficult clinical situation. This audit has highlighted that the overall compliance with the set standards (100% completion) was not achieved. A repeat audit will be important to further improve the compliance and overall clinical outcome.
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McClernon, Christopher K., Victor S. Finomore, Terence S. Andre, Forrest S. Jeffery, and Oliver N. Myers. "Evaluation of Digital Checklists for Command and Control Operations." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 60, no. 1 (September 2016): 1108–12. http://dx.doi.org/10.1177/1541931213601255.
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Checklists are a critical component of most any military operation and both the construction of and presentation of checklists can affect the performance and efficiency of these operations. The purpose of this research project is to compare methods for displaying and executing checklists in a command and control operation to increase both performance and efficiency. The NORAD/NORTHCOM Command Center (N2C2) uses a paper checklist system to facilitate responding to any number of disasters, to include air catastrophes. This project investigated the potential effectiveness of a digital system that could take the place of the paper system that is currently being used. A between groups experimental design was used to analyze the relative effectiveness of each method. Each group of subjects was introduced to a timed task on different checklist systems and asked to complete an Air Force Academy Command Center checklist as accurately and as quickly as possible. Performance and subjective assessments of each system were analyzed and compared. The data showed that a linear digital checklist takes a longer amount of time than both a paper checklist and hierarchical digital checklist. In addition, the subjective data showed that the hierarchical system and paper system were easier to use and navigate than the linear system.
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Willassen, Elin Thove, Inger Lise Smith Jacobsen, and Sidsel Tveiten. "Safe Surgery Checklist, Patient Safety, Teamwork, and Responsibility—Coequal Demands? A Focus Group Study." Global Qualitative Nursing Research 5 (January 1, 2018): 233339361876407. http://dx.doi.org/10.1177/2333393618764070.
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The use of World Health Organization’s (WHO’s) Safe Surgery checklist is an established practice worldwide and contributes toward ensuring patient safety and collaborative teamwork. The aim of this study was to elucidate operating room nurses’ and operating room nursing students’ experiences and opinions about execution of and compliance with checklists. We chose a qualitative design with semistructured focus group discussions. Qualitative content analysis was conducted. Two main themes were identified; the Safe Surgery checklists have varied influence on teamwork and patient safety, and taking responsibility for executing the checks on the Safe Surgery checklist entails practical and ethical challenges. The experiences and opinions of operating room nurses and their students revealed differences of practices and attitudes toward checklist compliance and the intentions of checklist procedures. These differences are related to cultural and professional distances between team members and their understanding of the Safe Surgery checklists as a tool for patient safety.
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Boese, Erin, Paul Lee, Grant Greenberg, Richard Harrison, and Jennifer Weizer. "Implementation of a Standardized Patient Safety Checklist in Ophthalmic Surgery." Journal of Academic Ophthalmology 10, no. 01 (January 2018): e172-e178. http://dx.doi.org/10.1055/s-0038-1675838.
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Objective To develop and institute a standardized ophthalmology-specific operating room checklist, and to test adherence to the surgical checklist components after implementation. Design An ophthalmology-specific operative room checklist was developed using recommendations from surgical preoperative checklists from other subspecialties and checklists specific to cataract surgery. This standardized checklist was then implemented into the operating rooms. Operative room staff was trained on its use. Adherence to the checklist was measured prospectively. Setting Surgical centers at Kellogg Eye Center in Ann Arbor and Livonia, Michigan. Participants Patients undergoing ophthalmic surgery at the Livonia and Ann Arbor surgical centers. Main Outcome(s) and Measure(s) The primary outcome measures were surgical team adherence to each category of the operative checklist (preop, prebrief, preanesthesia verification, time-out, intraocular lens measurement/confirmation for cataract cases, debrief). Adherence to the subsections of the operative checklist was measured during three periods over the course of 1 year: baseline, postintervention (after introduction of the checklist in all operating rooms), and postadjustment (after additional training was provided to operating room staff and incentives to collect data were provided to personnel responsible for collecting it). Results A total of 2,532 surgical cases were included in the analysis. Baseline adherence ranged from 87 to 90% across preop, prebrief, preanesthesia, and time-out verification sections of the operative checklist. After the institution of the intervention and adjustments, adherence to the surgical checklist improved significantly across all areas of the checklist to 97–98% (p < 0.01). Conclusions and Relevance The development and implementation of an ophthalmology-specific operative room checklist increase adherence to recommended safety checks prior to the start of surgery. To maximize patient safety, the same or similar checklist is recommended for use in all ophthalmology operating rooms.
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Bedford, Colleen, Priyanka Jain, Deanna Langer, David Kwan, and Julian Dobranowski. "Standardizing architecture and governance of radiology clinical checklist development." Journal of Clinical Oncology 34, no. 7_suppl (March 1, 2016): 193. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.193.
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193 Background: To improve quality of radiology reporting, Cancer Care Ontario’s (CCO) Cancer Imaging Program established synoptic radiology reporting as a priority area. Program goals are to implement standardized radiology reports across the province, improving communication between referring and interpreting physicians and providing a standardized foundation for staging data collection and population health research. Although there are libraries of structured radiology clinical checklists, development methodologies quality vary. To support ongoing development and provide a framework to assess existing checklists, the program developed and published two white papers. Methods: To ensure checklists are consistent in format, the first white paper provides guidance on ‘architecture’ (high-level elements) of a cancer imaging report. To ensure the content of adopted checklists are based on high-quality evidence, the second white paper focuses on clinical checklist development governance. Both white papers were developed in consultation with multidisciplinary expert panels assembled by CCO and underwent peer review prior to being made available. Results: The architecture white paper outlines the minimum mandatory elements for cancer imaging reports. The elements to be included in these reports are: demographics, relevant clinical information, body of the report, and impression. This paper provides specific guidance for expert panels in the development of new clinical checklists as well as criteria for reviewing existing checklists. The governance white paper provides a clear methodology for a systematic approach to clinical checklist development for synoptic radiology. Included are recommendations on the constitution of the clinical expert panels, the level of evidence needed to support checklist items, external review of the checklist, and periodic checklist maintenance. Conclusions: CCO has developed two white papers that serve as a guide for both CCO and external parties in the creation of high-quality clinical checklists. Improved standardization of the structure and development approach for clinical checklists facilitates both in-house development and adoption of third party checklists.
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Bitar, Véronique, Myriam Martel, Sophie Restellini, Alan Barkun, and Omar Kherad. "Checklist feasibility and impact in gastrointestinal endoscopy: a systematic review and narrative synthesis." Endoscopy International Open 09, no. 03 (February 19, 2021): E453—E460. http://dx.doi.org/10.1055/a-1336-3464.
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Abstract Background and study aim Checklists prevent errors and have a positive impact on patient morbidity and mortality in surgical settings. Despite increasing use of checklists in gastrointestinal endoscopy units across many countries, a summary of cumulated experience is lacking. The aim of this study was to identify and evaluate the feasibility of successful checklist implementation in gastrointestinal endoscopy units and summarise the evidence of its impact on the commitment in safety culture. Methods A comprehensive literature search was performed identifying the use of a checklist or time-out in endoscopy units from 1978 to January 2020 using OVID MEDLINE, EMBASE, and ISI Web of Knowledge databases, with search terms related to checklist and endoscopy. We summarised overall adherence to checklists from included studies through a narrative synthesis, characterizing barriers and facilitators according to nurse and physician perspectives, while also summarizing safety endpoints. Results The seven studies selected from 673 screened citations were highly heterogeneous in terms of methodology, context, and outcomes. Across five of these, checklist adherence rates post-intervention varied for both nurses (84 % to 96 %) and physicians (66 % to 95 %). Various facilitators (education, continued reassessment) and barriers (lack of safety culture, checklist completion time) were identified. Most studies did not report associations between checklist implementation and clinical outcomes, except for better team communication. Conclusion Implementation of a gastrointestinal endoscopy checklist is feasible, with an understanding of relevant barriers and facilitators. Apart from a significant increase in the perception of team communication, evidence for a measurable impact attributable to gastrointestinal checklist implementation on endoscopic processes and safety outcomes is limited and warrants further study.
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Ziewacz, John E., Sigurd H. Berven, Valli P. Mummaneni, Tsung-Hsi Tu, Olaolu C. Akinbo, Russ Lyon, and Praveen V. Mummaneni. "The design, development, and implementation of a checklist for intraoperative neuromonitoring changes." Neurosurgical Focus 33, no. 5 (November 2012): E11. http://dx.doi.org/10.3171/2012.9.focus12263.
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Object The purpose of this study was to provide an evidence-based algorithm for the design, development, and implementation of a new checklist for the response to an intraoperative neuromonitoring alert during spine surgery. Methods The aviation and surgical literature was surveyed for evidence of successful checklist design, development, and implementation. The limitations of checklists and the barriers to their implementation were reviewed. Based on this review, an algorithm for neurosurgical checklist creation and implementation was developed. Using this algorithm, a multidisciplinary team surveyed the literature for the best practices for how to respond to an intraoperative neuromonitoring alert. All stakeholders then reviewed the evidence and came to consensus regarding items for inclusion in the checklist. Results A checklist for responding to an intraoperative neuromonitoring alert was devised. It highlights the specific roles of the anesthesiologist, surgeon, and neuromonitoring personnel and encourages communication between teams. It focuses on the items critical for identifying and correcting reversible causes of neuromonitoring alerts. Following initial design, the checklist draft was reviewed and amended with stakeholder input. The checklist was then evaluated in a small-scale trial and revised based on usability and feasibility. Conclusions The authors have developed an evidence-based algorithm for the design, development, and implementation of checklists in neurosurgery and have used this algorithm to devise a checklist for responding to intraoperative neuromonitoring alerts in spine surgery.
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Brunshaw, Jacqueline M., and Peter Szatmari. "The Agreement between Behaviour Checklists and Structured Psychiatric Interviews for Children." Canadian Journal of Psychiatry 33, no. 6 (August 1988): 474–81. http://dx.doi.org/10.1177/070674378803300608.
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There are few reports in the literature on the agreement between structured interviews and behaviour checklists in terms of specific diagnostic categories. The objective of this paper is to see how this agreement varies by source of information and diagnosis. One hundred children and their parents referred to a mental health clinic were given the Diagnostic Interview for Children and Adolescents (DICA). Parents and teachers also completed a checklist, the Survey Diagnostic Instrument, a modification of the Child Behaviour Checklist. Using likelihood ratios, the parent checklist agreed best with the parent interview, regardless of diagnosis. Among DSM-III diagnoses, the combined disorder anxiety-depression obtained the highest agreement with the DICA, attention deficit disorder with hyperactivity the next, and conduct disorder the lowest. For screening purposes, combining the parent and teacher checklists appears best, while, for diagnostic purposes, using the parent checklist alone may suffice. Nevertheless, positive predictive values remain low and may remain an inherent limitation of any checklist.
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Collares, Felipe Birchal, Mehru Sonde, Kenneth Harper, Michael Armitage, Diana L. Neuhardt, and Helane S. Fronek. "Patient safety in phlebology: The ACP Phlebology Safety Checklist." Phlebology: The Journal of Venous Disease 33, no. 4 (February 23, 2017): 273–77. http://dx.doi.org/10.1177/0268355517694725.
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Objectives To assess the current use of safety checklists among the American College of Phlebology (ACP) members and their interest in implementing a checklist supported by the ACP on their clinical practices; and to develop a phlebology safety checklist. Method Online surveys were sent to ACP members, and a phlebology safety checklist was developed by a multispecialty team through the ACP Leadership Academy. Results Forty-seven percent of respondents are using a safety checklist in their practices; 23% think that a phlebology safety checklist would interfere or disrupt workflow; 79% answered that a phlebology safety checklist could improve procedure outcomes or prevent complications; and 85% would be interested in implementing a phlebology safety checklist approved by the ACP. Conclusion A phlebology safety checklist was developed with the intent to increase awareness on patient safety and improve outcome in phlebology practice.
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Orjefelt, Ebba. "An evaluation into the effectiveness of surgical safety checklists in veterinary procedures." Veterinary Nurse 12, no. 5 (June 2, 2021): 238–43. http://dx.doi.org/10.12968/vetn.2021.12.5.238.
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Background: Extensive research has been conducted evaluating surgical safety checklists in human medicine, but comparative research is lacking within veterinary medicine. Aim To evaluate the possible benefits of applying a surgical safety checklist to veterinary procedures. Methods: The checklist, created by the Association of Veterinary Anaesthetists (AVA), was applied to roughly 50% of patients undergoing surgical procedures in a veterinary practice in Edinburgh, Scotland during an 8-week period in 2020. The remaining 50% was not subjected to a checklist and was therefore used as a control group. Results: With the application of the checklist, the practices participating in the study experienced a 4% decrease in postoperative complications, although this was not statistically significant. Conclusion: The frequency of postoperative complications after surgical procedures reduced following the introduction of surgical safety checklists.
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Baertsch, Tanja, and Marino Menozzi. "The Redesign of a Checklist for Evaluating Driver Impairment: A Human Factors and Ergonomics Approach." Healthcare 10, no. 7 (July 12, 2022): 1292. http://dx.doi.org/10.3390/healthcare10071292.
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The Cantonal Police of Zurich, Switzerland, use a checklist to identify impaired drivers when conducting traffic stops. This checklist was developed by subject-matter experts and has been in use for eight years. The goal of this study was to redesign the checklist while considering human factors and ergonomics principles in combination with findings from a retrospective analysis of a set of 593 completed checklists. The checklist was amended in accordance with the results of the retrospective analysis by adding missing items and discarding superfluous ones. In addition, a hierarchical cluster analysis of the retrospective data suggested an improved spatial organization of checklist elements and the grouping of similar items of the checklist. Furthermore, aspects related to Fitts’s law, visual complexity, and an optimized direction of processing the checklist underpinned the design process. The results of an evaluation of the redesigned checklist by 11 laypeople and 13 police officers indicated an improved usability of the redesigned checklist over the original.
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Ely, John W., and Mark A. Graber. "Checklists to prevent diagnostic errors: a pilot randomized controlled trial." Diagnosis 2, no. 3 (September 1, 2015): 163–69. http://dx.doi.org/10.1515/dx-2015-0008.
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AbstractMany diagnostic errors are caused by premature closure of the diagnostic process. To help prevent premature closure, we developed checklists that prompt physicians to consider all reasonable diagnoses for symptoms that commonly present in primary care.We enrolled 14 primary care physicians and 100 patients in a randomized clinical trial. The study took place in an emergency department (5 physicians) and a same-day access clinic (9 physicians). The physicians were randomized to usual care vs. diagnostic checklist. After completing the history and physical exam, checklist physicians read aloud a differential diagnosis checklist for the chief complaint. The primary outcome was diagnostic error, which was defined as a discrepancy between the diagnosis documented at the acute visit and the diagnosis based on a 1-month follow-up phone call and record review.There were 17 diagnostic errors. The mean error rate among the seven checklist physicians was not significantly different from the rate among the seven usual-care physicians (11.2% vs. 17.8%; p=0.46). In a post-hoc subgroup analysis, emergency physicians in the checklist group had a lower mean error rate than emergency physicians in the usual-care group (19.1% vs. 45.0%; p=0.04). Checklist physicians considered more diagnoses than usual-care physicians during the patient encounters (6.5 diagnoses [SD 4.2] vs. 3.4 diagnoses [SD 2.0], p<0.001).Checklists did not improve the diagnostic error rate in this study. However further development and testing of checklists in larger studies may be warranted.
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Tohira, Hideo, Daniel Fatovich, Teresa A. Williams, Alexandra Bremner, Glenn Arendts, Ian R. Rogers, Antonio Celenza, et al. "Paramedic Checklists do not Accurately Identify Post-ictal or Hypoglycaemic Patients Suitable for Discharge at the Scene." Prehospital and Disaster Medicine 31, no. 3 (March 30, 2016): 282–93. http://dx.doi.org/10.1017/s1049023x16000248.
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AbstractObjectivesThe objective of this study was to assess the accuracy and safety of two pre-defined checklists to identify prehospital post-ictal or hypoglycemic patients who could be discharged at the scene.MethodsA retrospective cohort study of lower acuity, adult patients attended by paramedics in 2013, and who were either post-ictal or hypoglycemic, was conducted. Two self-care pathway assessment checklists (one each for post-ictal and hypoglycemia) designed as clinical decision tools for paramedics to identify patients suitable for discharge at the scene were used. The intention of the checklists was to provide paramedics with justification to not transport a patient if all checklist criteria were met. Actual patient destination (emergency department [ED] or discharge at the scene) and subsequent events (eg, ambulance requests) were compared between patients who did and did not fulfill the checklists. The performance of the checklists against the destination determined by paramedics was also assessed.ResultsTotals of 629 post-ictal and 609 hypoglycemic patients were identified. Of these, 91 (14.5%) and 37 (6.1%) patients fulfilled the respective checklist. Among those who fulfilled the checklist, 25 (27.5%) post-ictal and 18 (48.6%) hypoglycemic patients were discharged at the scene, and 21 (23.1%) and seven (18.9%) were admitted to hospital after ED assessment. Amongst post-ictal patients, those fulfilling the checklist had more subsequent ambulance requests (P=.01) and ED attendances with seizure-related conditions (P=.04) within three days than those who did not. Amongst hypoglycemic patients, there were no significant differences in subsequent events between those who did and did not meet the criteria. Paramedics discharged five times more hypoglycemic patients at the scene than the checklist predicted with no significant differences in the rate of subsequent events. Four deaths (0.66%) occurred within seven days in the hypoglycemic cohort, and none of them were attributed directly to hypoglycemia.ConclusionsThe checklists did not accurately identify patients suitable for discharge at the scene within the Emergency Medical Service. Patients who fulfilled the post-ictal checklist made more subsequent health care service requests within three days than those who did not. Both checklists showed similar occurrence of subsequent events to paramedics’ decision, but the hypoglycemia checklist identified fewer patients who could be discharged at the scene than paramedics actually discharged. Reliance on these checklists may increase transportations to ED and delay initiation of appropriate treatment at a hospital.TohiraH, FatovichD, WilliamsTA, BremnerA, ArendtsG, RogersIR, CelenzaA, MountainD, CameronP, SprivulisP, AhernT, FinnJ. Paramedic checklists do not accurately identify post-ictal or hypoglycaemic patients suitable for discharge at the scene. Prehosp Disaster Med. 2016;31(3):282–293.
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Mukundan, Jayakaran, Reza Hajimohammadi, and Vahid Nimehchisalem. "Developing An English Language Textbook Evaluation Checklist." Contemporary Issues in Education Research (CIER) 4, no. 6 (May 26, 2011): 21. http://dx.doi.org/10.19030/cier.v4i6.4383.
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The paper describes the considerations that were taken into account in the development of a tentative English language textbook evaluation checklist. A brief review of the related literature precedes the crucial issues that should be considered in developing checklists. In the light of the previous evaluation checklists the developers created a list of the evaluative criteria on which the construct of the checklist could be established. The developers considered matters of validity, reliability and practicality in the process of its design; however, further research is in process to refine the checklist. Such an instrument could be used by curriculum designers, material developers and evaluators, as well as English language teachers.
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Hallam, Bethany Danae, Courtney C. Kuza, Kimberly Rak, Jessica C. Fleck, Melanie M. Heuston, Debjit Saha, and Jeremy M. Kahn. "Perceptions of rounding checklists in the intensive care unit: a qualitative study." BMJ Quality & Safety 27, no. 10 (March 23, 2018): 836–43. http://dx.doi.org/10.1136/bmjqs-2017-007218.
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BackgroundRounding checklists are an increasingly common quality improvement tool in the intensive care unit (ICU). However, effectiveness studies have shown conflicting results. We sought to understand ICU providers’ perceptions of checklists, as well as barriers and facilitators to effective utilisation of checklists during daily rounds.ObjectivesTo understand how ICU providers perceive rounding checklists and develop a framework for more effective rounding checklist implementation.MethodsWe performed a qualitative study in 32 ICUs within 14 hospitals in a large integrated health system in the USA. We used two complementary data collection methods: direct observation of daily rounds and semistructured interviews with ICU clinicians. Observations and interviews were thematically coded and primary themes were identified using a combined inductive and deductive approach.ResultsWe conducted 89 interviews and performed 114 hours of observation. Among study ICUs, 12 used checklists and 20 did not. Participants described the purpose of rounding checklists as a daily reminder for evidence-based practices, a tool for increasing shared understanding of patient care across care providers and a way to increase the efficiency of rounds. Checklists were perceived as not helpful when viewed as overstandardising care and when they are not relevant to a particular ICU’s needs. Strategies to improve checklist implementation include attention to the brevity and relevance of the checklist to the particular ICU, consistent use over time, and integration with daily work flow.ConclusionOur results provide potential insights about why ICU rounding checklists frequently fail to improve outcomes and offer a framework for effective checklist implementation through greater feedback and accountability.
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Seagull, F. Jacob, Danny Ho, James Radcliffe, Yan Xiao, Peter Hu, and Colin F. Mackenzie. "Just-in-time Training for Medical Emergencies: Computer versus Paper Checklists for a Tracheal Intubation Task." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 51, no. 11 (October 2007): 725–29. http://dx.doi.org/10.1177/154193120705101126.
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Responding to medical emergencies quickly and effectively is essential. In remote or hostile environments, fully trained medical personnel are not always available, so clear and effective guidance is required. This paper reports a comparison of paper-based and computer-based checklists for just-in-time training for medical emergencies. In a between-subjects experiment, untrained participants carried out an emergency airway management task on a patient simulator either using a paper-based checklist with text and still images or using a computer-based checklist that included identical text plus video clips. Participants using the computer-based checklist performed significantly faster and more proficiently than those using the paper checklist. Subjective usability and preference measures were also superior for computer checklist. The results suggest the clear superiority of the computer-based checklist for untrained responders. We discuss which aspects of the computer-based checklist may contribute to its superiority.
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Kene-Allampalli, Prachi, Joseph D. Hovey, Gregory J. Meyer, and Joni L. Mihura. "Evaluation of the Reliability and Validity of Two Clinician- Judgment Suicide Risk Assessment Instruments." Crisis 31, no. 2 (March 2010): 76–85. http://dx.doi.org/10.1027/0227-5910/a000003.
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Background: This study evaluates the psychometric properties and factor structure of two clinician-judgment suicide risk assessment instruments – the Suicide Assessment Checklist developed by Yufit and the other developed by Rogers. Methods: As an archival study, 85 client records were obtained through a university psychology clinic. Results: Internal consistency was high for only one subscale of the Yufit checklist after deleting items for factor analyses, whereas internal consistency was high for the overall Rogers checklist after deleting items. Interrater reliability was excellent for both instruments. Both checklists correlated with self-reported suicidality on the Personality Assessment Inventory. Preliminary analyses indicated that data from the Yufit checklist are unsuitable for factor analysis, whereas factor analysis of the Rogers checklist identified one depressive factor. Conclusions: These findings provided evidence supporting the reliability and validity of the Rogers checklist. The findings also provided a good starting point for future research of the Yufit checklist.
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Rouse, Sally, Jennifer Loxton, Mary E. Spencer Jones, and Joanne S. Porter. "A checklist of marine bryozoan taxa in Scottish sea regions." ZooKeys 787 (October 3, 2018): 135–49. http://dx.doi.org/10.3897/zookeys.787.24647.
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Contemporary and historical bryozoan records were compiled to provide a comprehensive checklist of species in Scottish waters. The checklist comprises 218 species in 58 families, with representatives from each of the extant bryozoan orders. The fauna was relatively sparse compared to other regions for which bryozoan checklists were available e.g. New Zealand and Australia. Six non-indigenous bryozoan species from the Scottish seas region were included in the checklist. Baseline information on species distributions, such as that presented in this checklist, can be used to monitor and manage the impact of human activities on the marine environment, and ultimately preserve marine biodiversity.
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Du, Xinsong, Juan J. Aristizabal-Henao, Timothy J. Garrett, Mathias Brochhausen, William R. Hogan, and Dominick J. Lemas. "A Checklist for Reproducible Computational Analysis in Clinical Metabolomics Research." Metabolites 12, no. 1 (January 17, 2022): 87. http://dx.doi.org/10.3390/metabo12010087.
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Clinical metabolomics emerged as a novel approach for biomarker discovery with the translational potential to guide next-generation therapeutics and precision health interventions. However, reproducibility in clinical research employing metabolomics data is challenging. Checklists are a helpful tool for promoting reproducible research. Existing checklists that promote reproducible metabolomics research primarily focused on metadata and may not be sufficient to ensure reproducible metabolomics data processing. This paper provides a checklist including actions that need to be taken by researchers to make computational steps reproducible for clinical metabolomics studies. We developed an eight-item checklist that includes criteria related to reusable data sharing and reproducible computational workflow development. We also provided recommended tools and resources to complete each item, as well as a GitHub project template to guide the process. The checklist is concise and easy to follow. Studies that follow this checklist and use recommended resources may facilitate other researchers to reproduce metabolomics results easily and efficiently.
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Noah, Anthony O., Kevin G. Williams, and Ugo Otite. "Validated specific safety checklists for urological procedures can improve staff engagement and patient safety." Journal of Clinical Urology 12, no. 3 (January 30, 2019): 179–85. http://dx.doi.org/10.1177/2051415818822596.
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Objective: Safety checklists have become an integral part of surgical practice. The aim of this quality improvement study was to identify and eliminate weaknesses within safety checklists for shockwave lithotripsy (SWL), flexible cystoscopy and transrectal ultrasound-guided (TRUS) biopsy of prostate. Subjects and methods: A root cause analysis was carried out into a case of incorrect side SWL treatment. Furthermore, we carried out a survey amongst staff regarding the suitability of our flexible cystoscopy and TRUS biopsy checklists. Following the introduction of new checklists, a satisfaction survey was sent to staff. Results: The initial staff survey regarding flexible cystoscopy and TRUS biopsy identified at least three irrelevant questions on the checklist, with a further six with low–moderate importance. A single checklist was created for flexible cystoscopy and TRUS biopsy, whilst a separate checklist was developed for SWL. The follow-up satisfaction survey rated the new checklists as ‘satisfactory’ (82%) or ‘very satisfactory’ (18%). Conclusion: Appropriate checklists, with questions relevant to the procedure being undertaken will lead to greater staff satisfaction and engagement. This may lead to better staff participation, which is likely to reduce errors. Level of evidence: 3.
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Storesund, Anette, Arvid Steinar Haugen, Hilde Valen Wæhle, Rupavathana Mahesparan, Marja A. Boermeester, Monica Wammen Nortvedt, and Eirik Søfteland. "Validation of a Norwegian version of SURgical PAtient Safety System (SURPASS) in combination with the World Health Organizations’ Surgical Safety Checklist (WHO SSC)." BMJ Open Quality 8, no. 1 (January 2019): e000488. http://dx.doi.org/10.1136/bmjoq-2018-000488.
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IntroductionSurgical safety checklists may contribute to reduction of complications and mortality. The WHO’s Surgical Safety Checklist (WHO SSC) could prevent incidents in operating theatres, but errors also occur before and after surgery. The SURgical PAtient Safety System (SURPASS) is designed to intercept errors with use of checklists throughout the surgical pathway.ObjectiveWe aimed to validate a Norwegian version of the SURPASS’ preoperative and postoperative checklists for use in combination with the already established Sign In, Time Out and Sign Out parts of the WHO SSC.Methods and materialsThe validation of the SURPASS checklists content followed WHOs recommended guidelines. The process consisted of six steps: forward translation; testing the content; focus groups; expert panels; back translation; and approval of the final version. Qualitative content analysis was used to identify codes and categories for adaption of the SURPASS checklist items throughout Norwegian surgical care. Content validity index (CVI) was used by expert panels to score the relevance of each checklist item. The study was carried out in a neurosurgical ward in a large tertiary teaching hospital in Norway.ResultsTesting the preoperative and postoperative SURPASS checklists was performed in 29 neurosurgical procedures. This involved all professional groups in the entire surgical patient care pathway. Eight clinical focus groups revealed two main categories: ‘Adapt the wording to fit clinical practice’ and ‘The checklist items challenge existing workflow’. Interprofessional scoring of the content validity of the checklists reached >80% for all the SURPASS checklists.ConclusionsThe first version of the SURPASS checklists combined with the WHO SSC was validated for use in Norwegian surgical care with face validity confirmed and CVI >0.80%.Trial registration numberNCT01872195.
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Johnson, Charles N. "Checklist." California History 81, no. 1 (January 1, 2002): 75. http://dx.doi.org/10.2307/25177671.
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Johnson, Charles N. "Checklist." California History 81, no. 2 (January 1, 2002): 162–63. http://dx.doi.org/10.2307/25177684.
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&NA;. "Checklist." Obstetrics & Gynecology 121, no. 1 (January 2013): 195. http://dx.doi.org/10.1097/01.aog.0000425662.59986.e2.
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Johnston, Lindsay, Taylor Sawyer, Akira Nishisaki, Travis Whitfill, Anne Ades, Heather French, Kristen Glass, et al. "Comparison of a dichotomous versus trichotomous checklist for neonatal intubation." BMC Medical Education 22, no. 1 (August 26, 2022). http://dx.doi.org/10.1186/s12909-022-03700-4.
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Abstract Background To compare validity evidence for dichotomous and trichotomous versions of a neonatal intubation (NI) procedural skills checklist. Methods NI skills checklists were developed utilizing an existing framework. Experts were trained on scoring using dichotomous and trichotomous checklists, and rated recordings of 23 providers performing simulated NI. Videolaryngoscope recordings of glottic exposure were evaluated using Cormack-Lehane (CL) and Percent of Glottic Opening scales. Internal consistency and reliability of both checklists were analyzed, and correlations between checklist scores, airway visualization, entrustable professional activities (EPA), and global skills assessment (GSA) were calculated. Results During rater training, raters gave significantly higher scores on better provider performance in standardized videos (both p < 0.001). When utilized to evaluate study participants’ simulated NI attempts, both dichotomous and trichotomous checklist scores demonstrated very good internal consistency (Cronbach’s alpha 0.868 and 0.840, respectively). Inter-rater reliability was higher for dichotomous than trichotomous checklists [Fleiss kappa of 0.642 and 0.576, respectively (p < 0.001)]. Sum checklist scores were significantly different among providers in different disciplines (p < 0.001, dichotomous and trichotomous). Sum dichotomous checklist scores correlated more strongly than trichotomous scores with GSA and CL grades. Sum dichotomous and trichotomous checklist scores correlated similarly well with EPA. Conclusions Neither dichotomous or trichotomous checklist was superior in discriminating provider NI skill when compared to GSA, EPA, or airway visualization assessment. Sum scores from dichotomous checklists may provide sufficient information to assess procedural competence, but trichotomous checklists may permit more granular feedback to learners and educators. The checklist selected may vary with assessment needs.
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Knoche, Beatrice Billur, Caroline Busche, Marlon Grodd, Hans-Jörg Busch, and Soeren Sten Lienkamp. "A simulation-based pilot study of crisis checklists in the emergency department." Internal and Emergency Medicine, March 9, 2021. http://dx.doi.org/10.1007/s11739-021-02670-7.
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AbstractChecklists can improve adherence to standardized procedures and minimize human error. We aimed to test if implementation of a checklist was feasible and effective in enhancing patient care in an emergency department handling internal medicine cases. We developed four critical event checklists and confronted volunteer teams with a series of four simulated emergency scenarios. In two scenarios, the teams were provided access to the crisis checklists in a randomized cross-over design. Simulated patient outcome plus statement of the underlying diagnosis defined the primary endpoint and adherence to key processes such as time to commence CPR represented the secondary endpoints. A questionnaire was used to capture participants’ perception of clinical relevance and manageability of the checklists. Six teams of four volunteers completed a total of 24 crisis sequences. The primary endpoint was reached in 8 out of 12 sequences with and in 2 out of 12 sequences without a checklist (Odds ratio, 10; CI 1.11, 123.43; p = 0.03607, Fisher’s exact test). Adherence to critical steps was significantly higher in all scenarios for which a checklist was available (performance score of 56.3% without checklist, 81.9% with checklist, p = 0.00284, linear regression model). All participants rated the checklist as useful and 22 of 24 participants would use the checklist in real life. Checklist use had no influence on CPR quality. The use of context-specific checklists showed a statistically significant influence on team performance and simulated patient outcome and contributed to adherence to standard clinical practices in emergency situations.
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Staal, Justine, Robert Zegers, Jeanette Caljouw-Vos, Sílvia Mamede, and Laura Zwaan. "Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms." Diagnosis, December 9, 2022. http://dx.doi.org/10.1515/dx-2022-0092.
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Abstract Objectives Checklists that aim to support clinicians’ diagnostic reasoning processes are often recommended to prevent diagnostic errors. Evidence on checklist effectiveness is mixed and seems to depend on checklist type, case difficulty, and participants’ expertise. Existing studies primarily use abnormal cases, leaving it unclear how the diagnosis of normal cases is affected by checklist use. We investigated how content-specific and debiasing checklists impacted performance for normal and abnormal cases in electrocardiogram (ECG) diagnosis. Methods In this randomized experiment, 42 first year general practice residents interpreted normal, simple abnormal, and complex abnormal ECGs without a checklist. One week later, they were randomly assigned to diagnose the ECGs again with either a debiasing or content-specific checklist. We measured residents’ diagnostic accuracy, confidence, patient management, and time taken to diagnose. Additionally, confidence-accuracy calibration was assessed. Results Accuracy, confidence, and patient management were not significantly affected by checklist use. Time to diagnose decreased with a checklist (M=147s (77)) compared to without a checklist (M=189s (80), Z=−3.10, p=0.002). Additionally, residents’ calibration improved when using a checklist (phase 1: R2=0.14, phase 2: R2=0.40). Conclusions In both normal and abnormal cases, checklist use improved confidence-accuracy calibration, though accuracy and confidence were not significantly affected. Time to diagnose was reduced. Future research should evaluate this effect in more experienced GPs. Checklists appear promising for reducing overconfidence without negatively impacting normal or simple ECGs. Reducing overconfidence has the potential to improve diagnostic performance in the long term.
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"Checklists for nursing libraries: checklist 5, reference works." Health Libraries Review 2, no. 3 (September 1985): 128–32. http://dx.doi.org/10.1046/j.1365-2532.1985.230128.x.
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Barcelos, Luís M. D., José Azevedo, and João Barreiros. "Updated checklist of Azores Actinopterygii (Gnathostomata: Osteichthyes)." Biodiversity Data Journal 9 (March 11, 2021). http://dx.doi.org/10.3897/bdj.9.e62812.
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Since the first published comprehensive checklist of Azorean fishes - covering the whole Exclusive Economic Zone (EEZ) region - several new records have been published and an updated checklist published in 2010. This new dataset covers all confirmed species of actinopterygians for the Azorean EEZ. In this update, we made corrections to the previous checklists, updated the taxonomy according to the most recent bibliography and added two new species to the Azorean Actinopterygii checklist.
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"Checklists for nursing libraries: checklist 3, current awareness services." Health Libraries Review 2, no. 1 (March 1985): 39–40. http://dx.doi.org/10.1046/j.1365-2532.1985.210039.x.
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"Checklists for nursing libraries: checklist 4, book selection aids." Health Libraries Review 2, no. 2 (June 1985): 79–80. http://dx.doi.org/10.1046/j.1365-2532.1985.220079.x.
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"Checklists for nursing libraries: checklist 6, journal subscription agents." Health Libraries Review 2, no. 4 (December 1985): 191–92. http://dx.doi.org/10.1046/j.1365-2532.1985.240191.x.
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Kishita, Yusuke, Bi Hong Low, Shinichi Fukushige, Yasushi Umeda, Atsushi Suzuki, and Takao Kawabe. "Checklist-Based Assessment Methodology for Sustainable Design." Journal of Mechanical Design 132, no. 9 (September 1, 2010). http://dx.doi.org/10.1115/1.4002130.
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The manufacturing industry is faced with a challenge to create products with less environmental impact targeting a sustainable society. To cope with this challenge, sustainable design or ecodesign plays one of the most important roles. Manufacturers often use ecodesign checklists that are intended for obtaining eco-labels, such as Eco Mark in Japan, in order to support design improvements of products in terms of environmental consciousness. Eco-label checklists are, however, insufficient to support designing products rationally because the relationships between individual requirements of checklists and environmental impact are undetermined. This paper proposes a method for supporting assessment for ecodesign by developing a weighted checklist from a conventional eco-label checklist. This weighted checklist assesses the environmental performance of a product based on the potential environmental improvement of each requirement, derived by life cycle simulation. Results of a case study involving a digital duplicator indicate that the proposed method successfully clarifies the requirements that should be improved in the present product. When the design improvements are applied, the assessment of the product’s CO2 emissions shows an improvement by 8%.
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Quist-Nelson, Johanna, Alexander Hannenberg, Kathryn Ruymann, Angela Stover, Jason Baxter, Stephen Smith, Heidi Angle, et al. "Institution-specific perinatal emergency checklists: Multicenter report on development, implementation, and sustainability." American Journal of Perinatology, November 30, 2022. http://dx.doi.org/10.1055/a-1990-2499.
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Background: The American College of Obstetrics and Gynecology and the Society for Maternal-Fetal Medicine endorses checklist use to improve obstetric care. However, there is limited research into development, implementation, and sustained use of perinatal emergency checklists to inform individual institutions. Objective: To investigate the development and implementation of perinatal emergency checklists in diverse hospital settings in the United States. Methods: A qualitative study was conducted individually with clinicians from three healthcare systems. The participants developed and implemented institution-tailored perinatal emergency checklists. Interview transcriptions were coded using the Consolidated Framework for Implementation Research. Results: The study sites included two healthcare systems and one individual hospital. Delivery volumes ranged from 3,500 to 48,000 deliveries a year. Interviews were conducted with all ten participants approached. Checklists for 19 perinatal emergencies were developed at the three healthcare systems. Ten of the checklist topics were the same at all three institutions. Participants described the checklists as improving patient care during crises. The tools were viewed as opportunities to promote a shared mental model across clinical roles, to reduce redundancy and coordinate obstetric crisis management. Checklist were developed in small groups. Implementation was facilitated by those who developed the checklists. Participants agreed that simulation was essential for checklist refinement and effective use by response teams. Barriers to implementation included limited clinician availability. There was also an opportunity to strengthen integration of checklists workflow early in perinatal emergencies. Participants articulated that culture change took time, active practice, persistence, reinforcement, and process measurement. Conclusion: This study outlines processes to develop, implement, and sustain perinatal emergency checklists at three institutions. Participants agreed that multiple, parallel implementation tactics created the culture shift for integration. The overview and specific Consolidated Framework for Implementation Research components may be used to inform adaptation and sustainability for others considering implementing perinatal emergency checklists.
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"Checklist." Journal of the Formosan Medical Association 120, no. 2 (February 2021): E9. http://dx.doi.org/10.1016/s0929-6646(21)00009-7.
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"Checklist." Journal of the Formosan Medical Association 120, no. 3 (March 2021): E9. http://dx.doi.org/10.1016/s0929-6646(21)00054-1.
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"Checklist." Journal of the Formosan Medical Association 120, no. 4 (April 2021): E9. http://dx.doi.org/10.1016/s0929-6646(21)00089-9.
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"Checklist." Journal of the Formosan Medical Association 121, no. 8 (August 2022): E9. http://dx.doi.org/10.1016/s0929-6646(22)00265-0.
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"Checklist." Journal of the Formosan Medical Association 121, no. 9 (September 2022): E9. http://dx.doi.org/10.1016/s0929-6646(22)00299-6.
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"Checklist." Journal of the Formosan Medical Association 121, no. 11 (November 2022): E9. http://dx.doi.org/10.1016/s0929-6646(22)00372-2.
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"Checklist." Journal of the Formosan Medical Association 121, no. 10 (October 2022): E9. http://dx.doi.org/10.1016/s0929-6646(22)00342-4.
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