Articles: checklist.
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Bmc Health Serv Res · Apr 2015
ReviewCan shared decision-making reduce medical malpractice litigation? A systematic review.
To explore the likely influence and impact of shared decision-making on medical malpractice litigation and patients' intentions to initiate litigation. ⋯ Given the lack of empirical data, there is insufficient evidence to determine whether or not shared decision-making and the use of decision support interventions can reduce medical malpractice litigation. Further investigation is required.
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Checklist utilization has been shown to improve multiple processes of care in the intensive care unit (ICU). The ICU setting makes checklist implementation challenging, particularly when prompters are unavailable to ensure checklist compliance. We performed a prospective analysis on physician compliance reporting as a means to improve attending physician compliance with checklist use during ICU rounds. ⋯ Physician compliance reporting can be used to improve ICU physician compliance with rounding checklists when prompters are unavailable. Improved physician compliance translated into decreased rates of Foley catheter, central venous catheter, and ventilator use. These results highlight the impact physician accountability can have on patient care in the ICU.
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Pediatric emergency care · Apr 2015
Observational StudyA Novel Briefing Checklist at Shift Handoff in an Emergency Department Improves Situational Awareness and Safety Event Identification.
Emergency department (ED) shift handoffs are sources of potential medical error, delays in care, and medicolegal liabilities. Few handoff studies exist in the ED literature. We aimed to describe the implementation of a standardized checklist for improving situational awareness during physician handoffs in a pediatric ED. ⋯ The Physician Active Shift Signout in the Emergency Department briefing checklist was used often and at a high completion rate, frequently identifying potential safety events. The users found that it improved the quality of care and team communication. Future studies on outcomes and processes are needed.
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The US health care system is currently undergoing a paradigm shift from pay-for-service toward pay-for-performance reimbursement, with a focus on quality measures and patient satisfaction. An important tool gaining increasing emphasis during the quality revolution is the surgical checklist. ⋯ Although other fields have pioneered the checklist revolution, neurosurgery is now beginning to follow suit. The authors review the available published neurosurgical checklists and their early results on patient safety.