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Critical Care
Erschienen in: Critical Care 6/2009

01.12.2009 | Review

Clinical review: Checklists - translating evidence into practice

verfasst von: Bradford D Winters, Ayse P Gurses, Harold Lehmann, J Bryan Sexton, Carlyle Jai Rampersad, Peter J Pronovost

Erschienen in: Critical Care | Ausgabe 6/2009

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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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Literatur
1.
Gawande A: The checklist: if something so simple can transform intensive care, what else can it do? New Yorker. 10 December 2007; Annals of Medicine section 1-8.
2.
Hales B, Terblanche M, Fowler R, Sibbald W: Development of medical checklists for improved quality of patient care. Int J Qual Health Care 2008, 20: 22-30. 10.1093/intqhc/mzm062CrossRefPubMed
3.
Pronovost PJ, Thompson DA, Holzmueller CG, Lubomski LH, Dorman T, Dickman F, Fahey M, Steinwachs DM, Engineer L, Sexton JB, Wu AW, Morlock LL: Toward learning from patient safety reporting systems. J Crit Care 2006, 21: 305-315. 10.1016/j.jcrc.2006.07.001CrossRefPubMed
4.
Lingard L, Espin S, Whyte S, Regehr G, Baker GR, Reznick R, Bohnen J, Orser B, Doran D, Grober E: Communication failures in the operating room: an observational classification of recurrent types and effects. Qual Saf Health Care 2004, 13: 330-334. 10.1136/qshc.2003.008425PubMedCentralCrossRefPubMed
5.
Sutcliffe KM, Lewton E, Rosenthal MM: Communication failures: an insidious contributor to medical mishaps. Acad Med 2004, 79: 186-194. 10.1097/00001888-200402000-00019CrossRefPubMed
6.
Gawande AA, Zinner MJ, Studdert DM, Brennan TA: Analysis of errors reported by surgeons at three teaching hospitals. Surgery 2003, 133: 614-621. 10.1067/msy.2003.169CrossRefPubMed
7.
Degani A, Wiener EL: Cockpit checklists: Concepts, design, and use. Hum Factors 1993, 35: 345-359.
8.
Peleg M, Boxwala AA, Ogunyemi O, Zeng Q, Tu S, Lacson R, Bernstam E, Ash N, Mork P, Ohno-Machado L, Shortliffe EH, Greenes RA: GLIF3: the evolution of a guideline representation format. Proc AMIA Symp 2000, 645-649.
9.
Kendell J, Barthram C: Revised checklist for anaesthetic machines. Anaesthesia 1998, 53: 887-890. 10.1046/j.1365-2044.1998.00462.xCrossRefPubMed
10.
Berenholtz SM, Pronovost PJ, Lipsett PA, Hobson D, Earsing K, Farley JE, Milanovich S, Garrett-Mayer E, Winters BD, Rubin HR, Dorman T, Perl TM: Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med 2004, 32: 2014-2020. 10.1097/01.CCM.0000142399.70913.2FCrossRefPubMed
11.
Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, Sexton B, Hyzy R, Welsh R, Roth G, Bander J, Kepros J, Goeschel C: An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006, 355: 2725-2732. 10.1056/NEJMoa061115CrossRefPubMed
12.
Makary MA, Holzmueller CG, Thompson DA, Rowen L, Heitmiller ES, Maley WR, Black JH, Stegner K, Freischlag JA, Ulatowski JA, Pronovost PJ: Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf 2006, 32: 351-355.PubMed
13.
14.
Burian B: Aeronautical emergency and abnormal checklists: expectations and realities. In Proceedings of the Human Factors and Ergonomics Society 50th Annual Meeting: 16-20 October 2006; San Francisco. Santa Monica, CA: Human Factors and Ergonomics Society; 2006:101-105.
15.
Swain AD, Guttman HE: Handbook of Human Reliability Analysis with Emphasis on Nuclear Power Plant Applications (NUREG/CR-1278). Washington, DC: Nuclear Regulatory Commission; 1983.CrossRef
16.
Hayashi I, Wakisaka M, Ookata N, Fujiwara M, Odashiro M: Actual conditions of the check system for the anesthesia machine before anesthesia. Do you really check? Masui 2007, 56: 1182-1185.PubMed
17.
Colon-Emeric CS, Lekan D, Utley-Smith Q, Ammarell N, Bailey D, Corazzini K, Piven ML, Anderson RA: Barriers to and facilitators of clinical practice guideline use in nursing homes. J Am Geriatr Soc 2007, 55: 1404-1409. 10.1111/j.1532-5415.2007.01297.xPubMedCentralCrossRefPubMed
18.
Hewson KM, Burrell AR: A pilot study to test the use of a checklist in a tertiary intensive care unit as a method of ensuring quality processes of care. Anaesth Intensive Care 2006, 34: 322-328.PubMed
19.
Huang HC, Lin WC, Lin JD: Development of a fall-risk checklist using the Delphi technique. J Clin Nurs 2008, 17: 2275-2283. 10.1111/j.1365-2702.2008.02337.xCrossRefPubMed
20.
Makary MA, Mukherjee A, Sexton JB, Syin D, Goodrich E, Hartmann E, Rowan L, Behrens DC, Marohn M, Pronovost PJ: Operating room briefings and wrong site surgery. J Am Coll Surg 2007, 204: 236-243. 10.1016/j.jamcollsurg.2006.10.018CrossRefPubMed
21.
Verdaasdonk EG, Stassen LP, Hoffmann WF, Elst M, Dankelman J: Can a structured checklist prevent problems with laparoscopic equipment? Surg Endosc 2008, 22: 2238-2243. 10.1007/s00464-008-0029-3CrossRefPubMed
22.
Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C: Improving communication in the ICU using daily goals. J Crit Care 2003, 18: 71-75. 10.1053/jcrc.2003.50008CrossRefPubMed
23.
Lingard L, Regehr G, Orser B, Reznick R, Baker GR, Doran D, Espin S, Bohnen J, Whyte S: Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Arch Surg 2008, 143: 12-17. discussion 18 10.1001/archsurg.2007.21CrossRefPubMed
24.
Torr J, Iacono T, Graham MJ, Galea J: Checklists for general practitioner diagnosis of depression in adults with intellectual disability. J Intellect Disabil Res 2008, 52: 930-941. 10.1111/j.1365-2788.2008.01103.xCrossRefPubMed
25.
Iacono T, West D, Bloomberg K, Johnson H: Reliability and validity of the revised Triple C: Checklist of Communicative Competencies for adults with severe and multiple disabilities. J Intellect Disabil Res 2009, 53: 44-53. 10.1111/j.1365-2788.2008.01121.xCrossRefPubMed
26.
Clay AS, Que L, Petrusa ER, Sebastian M, Govert J: Debriefing in the intensive care unit: a feedback tool to facilitate bedside teaching. Crit Care Med 2007, 35: 738-754. 10.1097/01.CCM.0000257329.22025.18CrossRefPubMed
27.
Levy MM, Pronovost PJ, Dellinger RP, Townsend S, Resar RK, Clemmer TP, Ramsay G: Sepsis change bundles: Converting guidelines into meaningful change in behavior and clinical outcome. Crit Care Med 2004, 32: S595-S597. 10.1097/01.CCM.0000147016.53607.C4CrossRefPubMed
28.
Miller GA: The magical number seven plus or minus two: some limits on our capacity for processing information. Psychol Rev 1956, 63: 81-97. 10.1037/h0043158CrossRefPubMed
29.
Lorist MM, Boksem MA, Ridderinkhof KR: Impaired cognitive control and reduced cingulate activity during mental fatigue. Brain Res Cogn Brain Res 2005, 24: 199-205. 10.1016/j.cogbrainres.2005.01.018CrossRefPubMed
30.
Halford GS, Baker R, McCreeden JE, Bain JD: How many variables can humans process? Psychol Sci 2005, 16: 70-76. 10.1111/j.0956-7976.2005.00782.xCrossRefPubMed
31.
Hutchins E: Cognition in the Wild. Cambridge, MA: MIT Press; 1996.
32.
Norman DA: Design principles for cognitive artifacts. Res Eng Des 1992, 4: 43-50. 10.1007/BF02032391CrossRef
33.
Xiao Y: Artifacts and collaborative work in healthcare: methodological, theoretical, and technological implications of the tangible. J Biomed Inform 2005, 38: 26-33. 10.1016/j.jbi.2004.11.004CrossRefPubMed
34.
Rodriguez-Paz JM, Mark LJ, Herzer KR, Michelson JD, Grogan KL, Herman J, Hunt D, Wardlow L, Armour EP, Pronovost PJ: A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. Anesth Analg 2009, 108: 202-210. 10.1213/ane.0b013e31818ca423CrossRefPubMed
35.
Surowiecki J: The Wisdom of Crowds: Why the Many Are Smarter than the Few and How Collective Wisdom Shapes Business, Economics, Societies and Nations. 1st edition. New York, NY: Random House; 2004.
36.
Gurses AP, Seidl KL, Vaidya V, Bochicchio G, Harris AD, Hebden J, Xiao Y: Systems ambiguity and guideline compliance: a qualitative study of how intensive care units follow evidence-based guidelines to reduce healthcare-associated infections. Qual Saf Health Care 2008, 17: 351-359. 10.1136/qshc.2006.021709CrossRefPubMed
37.
Oberauer K, Kliegl R: Simultaneous cognitive operations in working memory after dual-task practice. J Exp Psychol Hum Percept Perform 2004, 30: 689-707. 10.1037/0096-1523.30.4.689CrossRefPubMed
38.
Nielsen J: Usability Engineering. San Diego, CA: Academic Press; 1993.
39.
Strauss A, Corbin J: Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory. 2nd edition. Newbury Park, CA: Sage Publications; 1998.
40.
Wicker P, Smith B: Checking the anaesthetic machine. J Perioper Pract 2006, 16: 585-590.PubMed
41.
42.
O'Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG, Masur H, McCormick RD, Mermel LA, Pearson ML, Raad II, Randolph A, Weinstein RA: Guidelines for the prevention of intravascular catheter-related infections. Centers for Disease Control and Prevention. MMWR Recomm Rep 2002, 51: 1-29.PubMed
43.
Pronovost PJ, Berenholtz SM, Goeschel C, Thom I, Watson SR, Holzmueller CG, Lyons JS, Lubomski LH, Thompson DA, Needham D, Hyzy R, Welsh R, Roth G, Bander J, Morlock L, Sexton JB: Improving patient safety in intensive care units in Michigan. J Crit Care 2008, 23: 207-221. 10.1016/j.jcrc.2007.09.002CrossRefPubMed
44.
45.
Pronovost PJ, Berenholtz SM, Goeschel CA, Needham DM, Sexton JB, Thompson DA, Lubomski LH, Marsteller JA, Makary MA: Creating high reliability in healthcare organizations. Health Serv Res 2006, 41: 1599-1617. 10.1111/j.1475-6773.2006.00567.xPubMedCentralCrossRefPubMed
46.
Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE, Strom BL: The impact of computerized physician medication order entry in hospitalized patients--a systematic review. JAMA 2005, 293: 1197-1203. 10.1001/jama.293.10.1197CrossRefPubMed
47.
Eslami S, de Keizer NF, Abu-Hanna A: The impact of computerized physician medication order entry in hospitalized patients--a systematic review. Int J Med Inform 2008, 77: 365-376. 10.1016/j.ijmedinf.2007.10.001CrossRefPubMed
48.
Windle J, Van-Milligan G, Duffy S, McClay J, Campbell J: Rapid deployment of physician order entry using web-based, disease-specific order sets. In AMIA Annual Symposium Proceedings. Omaha, NE: University of Nebraska Medical Center; 2003:1079.
49.
Wrona S, Chisolm DJ, Powers M, Miler V: Improving processes of care in patient-controlled analgesia: the impact of computerized order sets and acute pain service patient management. Paediatr Anaesth 2007, 17: 1083-1089.CrossRefPubMed
50.
Donaldson NE, Rutledge DN, Ashley J: Outcomes of adoption: measuring evidence uptake by individuals and organizations. Worldviews Evid Based Nurs 2004,1(Suppl 1):S41-51. 10.1111/j.1524-475X.2004.04048.xCrossRefPubMed
51.
Titler MG: Methods in translation science. Worldviews Evid Based Nurs 2004, 1: 38-48. 10.1111/j.1741-6787.2004.04008.xCrossRefPubMed
52.
Metadaten
Titel
Clinical review: Checklists - translating evidence into practice
verfasst von
Bradford D Winters
Ayse P Gurses
Harold Lehmann
J Bryan Sexton
Carlyle Jai Rampersad
Peter J Pronovost
Publikationsdatum
01.12.2009
Verlag
BioMed Central
Erschienen in
Critical Care / Ausgabe 6/2009
Elektronische ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc7792

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