Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices

Byrnes, Matthew C.; Schuerer, Douglas J.E.; Schallom, Marilyn; Sona, Carrie; Mazuski, John E.; Taylor, Beth; McKenzie, Wendi; Thomas, James M.; Emerson, Jeffrey S.; Nemeth, Jennifer L.; Bailey, Ruth; Boyle, Walter A.; Buchman, Timothy G.; Coopersmith, Craig M.

doi:10.1097/ccm.0b013e3181a96379

Cited by 126 publications

(60 citation statements)

References 28 publications

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“…En adultos, se las utiliza para mejorar la comunicación, el cumplimiento de 10 y como herramienta para mejorar la adherencia a prácticas basadas en evidencia. [11][12][13][14][15] En Cuidados Intensivos Pediátricos, existen menos referencias sobre su utilización. Se las ha empleado para mejorar la comunicación de objetivos asistenciales 16 y para optimizar el cumplimiento de prácticas relacionadas con la seguridad del paciente.…”

Section: Introductionunclassified

Implementación de una lista de cotejo para mejorar la adherencia a prácticas basadas en evidencia en una Unidad de Cuidados Intensivos Pediátricos

et al. 2017

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Section: Introductionunclassified

Implementación de una lista de cotejo para mejorar la adherencia a prácticas basadas en evidencia en una Unidad de Cuidados Intensivos Pediátricos

et al. 2017

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“…A growing body of evidence suggests that checklists can improve patient safety (73). Although commonly applied in intensive care units (12) and surgery (25,59), studies also describe checklist use in emergency departments, acute care settings, medication administration (44), and as part of multipronged programs (174). In practice, however, checklist use varies once adopted, presenting an obstacle to deriving benefits (98).…”

Section: Coordinating At Care Transitions and Across Interdependent Fmentioning

confidence: 99%

Reducing Hospital Errors: Interventions that Build Safety Culture

Singer¹,

Vogus

2013

Annu. Rev. Public Health

153

145

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Hospital errors are a seemingly intractable problem and continuing threat to public health. Errors resist intervention because too often the interventions deployed fail to address the fundamental source of errors: weak organizational safety culture. This review applies and extends a theoretical model of safety culture that suggests it is a function of interrelated processes of enabling, enacting, and elaborating that can reduce hospital errors over time. In this model, enabling activities help shape perceptions of safety climate, which promotes enactment of safety culture. We then classify a broad array of interventions as enabling, enacting, or elaborating a culture of safety. Our analysis, which is intended to guide future attempts to both study and more effectively create and sustain a safety culture, emphasizes that isolated interventions are unlikely to reduce the underlying causes of hospital errors. Instead, reducing errors requires systemic interventions that address the interrelated processes of safety culture in a balanced manner.

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“…In the case of adults, checklists are used to improve communication, the fulfillment of goals, 10 and as a tool to increase compliance with evidencebased practices. [11][12][13][14][15] 16 and optimize the compliance with patient safety practices. 17 In our setting, their use has not been reported.…”

Section: Introductionmentioning

confidence: 99%

Implementation of a checklist to increase adherence to evidence-based practices in a single pediatric intensive care unit

et al. 2017

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Introduction. The use of checklists to increase adherence to evidence-based practices is not yet widespread in pediatric intensive care units. The objective of this study was to achieve 90% compliance with studied practices using an ad hoc checklist. Population and methods. Time series quasiexperimental study conducted in ventilated children hospitalized in the pediatric intensive care unit. Studied practices included sedation breaks, plateau pressure ≤ 30 cm H 2 O, fraction of inspired oxygen ≤ 60%, maintenance of headboard at > 30°, chlorhexidine mouthwash, weekly ventilator circuit changes, preference for enteral feeding, reduction in the threshold for blood transfusions (hemoglobin: 7 g/dL), daily consideration of spontaneous breathing trials and central venous catheter removal. The checklist was used during ward rounds by the staff physicians in charge of the pediatric intensive care unit as part of an intervention to increase adherence and as a tracking tool. Each form completed on a daily basis was considered an observation. Observations were classified as defective in the case of non-compliance with one or more items. Adherence (the rate of nondefective units of observation) is summarized in the control chart. Results. The study period lasted 420 days. A total of 732 patients were hospitalized; 218 underwent mechanical ventilation; 1201 observations were made, and 1191 were included in the study. The control chart with a 14-month time horizon showed increased adherence, a special cause variation pattern in the last 3 months of the study period, and > 90% compliance over the last 2 months. Conclusions. The implementation of a checklist increased adherence to studied practices and achieved more than 90% compliance over the last 2 months of the study period.

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Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices

Cited by 126 publications

References 28 publications

Implementación de una lista de cotejo para mejorar la adherencia a prácticas basadas en evidencia en una Unidad de Cuidados Intensivos Pediátricos

Implementación de una lista de cotejo para mejorar la adherencia a prácticas basadas en evidencia en una Unidad de Cuidados Intensivos Pediátricos

Reducing Hospital Errors: Interventions that Build Safety Culture

Implementation of a checklist to increase adherence to evidence-based practices in a single pediatric intensive care unit

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