Development of medical checklists for improved quality of patient care

Hales, Brigette; Terblanche, Marius; Fowler, Robert; Sibbald, William J.

doi:10.1093/intqhc/mzm062

Cited by 315 publications

(300 citation statements)

References 20 publications

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“…The development of medical checklists requires consideration and skill; 23 however, ensuring that a checklist is used reliably by clinicians might be an even greater challenge. Successful QI interventions based on checklists invested substantial efforts to ensure that the checklists would be utilized.…”

Section: Discussionmentioning

confidence: 99%

Removing nonessential central venous catheters: evaluation of a quality improvement intervention

Ilan

Doan

Cload

et al. 2012

Can J Anesth/J Can Anesth

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Introduction Nonessential central venous catheters (CVCs) should be removed promptly to prevent adverse events. Little is known about effective strategies to achieve this goal. The present study evaluates the effectiveness of a quality improvement (QI) initiative to remove nonessential CVCs in the intensive care unit (ICU).Methods A prospective observational study was performed in two ICUs following a QI intervention that included a daily checklist, education, and reminders. During 28 consecutive days, all CVCs were identified and the presence of ongoing indications for CVC placement was recorded. The proportions of nonessential CVCs and CVC days were compared with pre-intervention proportions and between the participating units. Rates of central line-associated bloodstream infections (CLABSI) were measured separately through Ontario's Critical Care Information System. Results One hundred and ten patients and 159 CVCs were reviewed. Eighty-eight (11%) of 820 catheter days showed no apparent indication for CVC placement, and compared with the pre-intervention period, the proportion of patients with any number of nonessential CVC days decreased from 51% to 26% (relative risk 0.51; 95% confidence interval 0.34 to 0.74; P \ 0.001). There was no significant difference in the proportion of nonessential catheter days between participating units. Reported rates of CLABSI decreased substantially during the intervention. Discussion A checklist tool supported by a multifaceted QI intervention effectively ensured prompt removal of nonessential CVCs in two ICUs. RésuméIntroduction Les cathe´ters veineux centraux (CVC) non essentiels doivent eˆtre retire´s rapidement afin de pre´venir les effets inde´sirables. On ne sait que peu de choses sur les strate´gies efficaces permettant d'atteindre cet objectif. La pre´sente e´tude e´value l'efficacite´d'une initiative d'ame´lioration de la qualite´pour supprimer les CVC non essentiels dans une unite´de soins intensifs (USI). Méthode Une e´tude observationnelle prospective a e´te´mene´e dans deux USI suite a`une intervention

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Section: Discussionmentioning

confidence: 99%

Removing nonessential central venous catheters: evaluation of a quality improvement intervention

Ilan

Doan

Cload

et al. 2012

Can J Anesth/J Can Anesth

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“…8 After several discussions, consultations, and reviews of the literature, the group developed KIDS SAFE, a checklist for 8 areas of care for PICU patients: kids' developmental needs, infection, prophylaxis for deep-vein thrombosis, sedation, skin integrity, analgesia, family, and enteral needs.…”

Section: Phasementioning

confidence: 99%

The KIDS SAFE Checklist for Pediatric Intensive Care Units

Ullman¹,

Long²,

Horn³

et al. 2013

American Journal of Critical Care

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“…They have been shown to decrease medical errors, improve standards of patient care and improve adherence to best practices, particularly during complex tasks [4,5]. Well-known examples of checklists in medicine include the Catheter-Related Blood Stream Infection checklist developed at Johns Hopkins, which decreased the incidence of these infections from 11.3 to 0 per 1000 catheterdays [6].…”

Section: Checklists In Medicinementioning

confidence: 99%