Implementation of an electronic checklist in the ICU: Association with improved outcomes

Duclos, Gary; Zieleskiewicz, Laurent; Antonini, François; Mokart, Djamel; Paone, Véronique; Po, Marie Hélène; Vigne, Coralie; Hammad, Emmanuelle; Potié, F.; Martin, Claude; Medam, Sophie; Léone, Marc

doi:10.1016/j.accpm.2017.04.006

Cited by 12 publications

(3 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This issue could be overcome by tools that facilitate compliance without delaying the management of patients. For example, the implementation of an electronic checklist was associated with a reduction in the incidence of healthcare-associated, ventilator-associated pneumonia by improving the application of preventive measures [18]. Such an approach in the context of trauma has been proposed by Sarcevic et al [19].…”

Section: Discussionmentioning

confidence: 99%

The association between regional guidelines compliance and mortality in severe trauma patients: an observational, retrospective study

Duclos,

Heireche,

Siroutot

et al. 2024

European Journal of Emergency Medicine

Self Cite

View full text Add to dashboard Cite

Background and importance Trauma is a major cause of mortality and morbidity. Regional trauma systems are the cornerstones of healthcare systems, helping to improve outcomes and avoid preventable deaths in severe trauma patients. Objectives The goal of this study was to evaluate the association between compliance with the guidelines of a regional trauma management system and survival at 28 days of severe trauma patients. Design, settings and participants We conducted a retrospective observational study from 1 January 2019 to 31 December 2019. All adult patients admitted for trauma at the University Hospital of Marseille (France) and requiring a pre-hospital medical team were analysed. Compliance with a list of 30 items based on the regional guidelines for the trauma management was evaluated. Each item was classified as compliant, not compliant or not applicable. The global compliance was calculated for each patient as the ratio between the number of compliant items over the number of applicable items. Outcome measures and analysis The primary aim was to measure the association between compliance with the guidelines and survival at 28 days using a logistic regression. Secondary objectives were to measure the association between compliance with the guidelines and survival at 28 days and 6 months according to the severity of the patients, using a cut-off of the injury severity score at 24. Main results A total of 494 patients with a median age of 35.0 (25.0–50.0) years were analysed. Global compliance with guidelines was 63%. Mortality at 28 days and 6 months was assessed at 33 (6.7%) and 37 (7.5%) patients, respectively. The level of compliance was associated with reduced mortality at 28 days [odds ratio (OR) at 0.94 and 95% confidence interval (CI) at 0.89–0.98]. In the subgroup of 122 patients with an injury severity score above 23, the level of compliance was associated with reduced mortality at 28 days [OR: 0.93 (95% CI: 0.88–0.99)] and 6 months [OR: 0.93 (95% CI: 0.87–0.99)]. Conclusion Increased levels of compliance with the guidelines in severe trauma patients were associated with an increase in survival, notably in the most severe patients.

show abstract

Section: Discussionmentioning

confidence: 99%

The association between regional guidelines compliance and mortality in severe trauma patients: an observational, retrospective study

Duclos,

Heireche,

Siroutot

et al. 2024

European Journal of Emergency Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…The mortality rates range from 15 to 25%, and 21% of patients discharged alive does not survive at 1-year [6]. A longitudinal study highlighted a trend toward increasing proportions of elderly patients between 2008 and 2014 [7].…”

Section: Admission Criteria and Outcomementioning

confidence: 99%

French intensive care unit organisation

Léone

Constantin²,

Dahyot‐Fizelier³

et al. 2018

Anaesthesia Critical Care & Pain Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…Numerous studies have demonstrated the significance of appropriate physician staffing as well as the use of protocols, clinical practice guidelines, and checklists to improve clinical outcomes in modern ICUs [3][4][5]. Specifically, some studies have shown that Healthcare 2024, 12, 871 2 of 14 the implementation of checklists for organized critical care in ICUs improved patients' outcomes [6,7].…”

Section: Introductionmentioning

confidence: 99%

Impact of a Rounding Checklist Implementation in the Trauma Intensive Care Unit on Clinical Outcomes

Seo,

Heo,

Moon

et al. 2024

Healthcare

View full text Add to dashboard Cite

We aimed to evaluate the effectiveness of an intensive care unit (ICU) round checklist, FAST HUGS BID (Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, Ulcer prophylaxis, Glycemic control, Spontaneous breathing trial, Bowel regimen, Indwelling catheter removal, and De-escalation of antibiotics—abbreviated as FD hereafter), in improving clinical outcomes in patients with severe trauma. We included patients admitted to our trauma ICU from 2016 to 2020 and divided them into two groups: before (before-FD, 2016–2017) and after (after-FD, 2019–2020) implementation of the checklist. We compared patient characteristics and clinical outcomes, including ICU and hospital length of stay (LOS) and in-hospital mortality. Survival analysis was performed using Kaplan–Meier curves and multivariable logistic regression models; furthermore, multiple linear regression analysis was used to identify independent factors associated with ICU and hospital LOS. Compared with the before-FD group, the after-FD group had significantly lower in-hospital mortality and complication rates, shorter ICU and hospital LOS, and reduced duration of mechanical ventilation. Moreover, implementation of the checklist was a significant independent factor in reducing ICU and hospital LOS and in-hospital mortality. Implementation of the FD checklist is associated with decreased ICU and hospital LOS and in-hospital mortality.

show abstract

Implementation of an electronic checklist in the ICU: Association with improved outcomes

Abstract: In this matched before/after study, implementation of an electronic checklist was associated with positive effects on patient outcomes, especially on VAP. Further prospective studies are needed to confirm these observations.

Cited by 12 publications

References 40 publications

The association between regional guidelines compliance and mortality in severe trauma patients: an observational, retrospective study

The association between regional guidelines compliance and mortality in severe trauma patients: an observational, retrospective study

French intensive care unit organisation

Impact of a Rounding Checklist Implementation in the Trauma Intensive Care Unit on Clinical Outcomes

Contact Info

Product

Resources

About