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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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.
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Obstetrics and gynecology · Apr 2015
Committee Opinion No. 629: Clinical guidelines and standardization of practice to improve outcomes.
Protocols and checklists have been shown to reduce patient harm through improved standardization and communication. Implementation of protocols and guidelines often is delayed because of lack of health care provider awareness or difficult clinical algorithms in medical institutions. However, the use of checklists and protocols clearly has been demonstrated to improve outcomes and their use is strongly encouraged. Checklists and protocols should be incorporated into systems as a way to help practitioners provide the best evidence-based care to their patients.
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Critical care medicine is at a crossroads in which limited numbers of staff care for increasing numbers of patients as the population ages and use of ICUs increases. Also at this time health care spending must be curbed. ⋯ When implemented correctly and in the right populations this technology has improved outcomes. Future studies regarding implementation, organization, staffing, and innovation are needed to determine the optimal use of this critical care professional enhanced technology.