Articles: checklist.
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Surgical infections · Feb 2012
Implementation of the World Health Organization surgical safety checklist at a university hospital in Thailand.
Compliance with the World Health Organization (WHO) surgical safety checklist may reduce preventable adverse events. However, compliance may be difficult to implement in Thailand. This study was conducted to examine compliance with the WHO checklist at a Thai university hospital. ⋯ The WHO checklist can be implemented in a developing country. However, compliance with some items was extremely low, reflecting different work patterns and cultural norms. Additional education and enforcement of checklist use is needed to improve compliance.
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Z Evid Fortbild Qual Gesundhwes · Jan 2012
Development and validation of the "FrOCK": Frankfurt observer communication checklist.
Appropriate communication behaviour during medical consultations has been shown to improve doctor-patient relationships, and should therefore be an integral part of medical training. In Germany, though, there are almost no reliable and validated checklists for assessing communication skills during medical examinations. Our aim was to develop and validate the first German checklist to examine communication skills that can be used during examinations: the Frankfurt Observer Communication Checklist (FrOCK). ⋯ The results of this study have shown that FrOCK is a clear and concise checklist for assessing communication skills in medical examinations and one that satisfies psychometric requirements as well. It takes only 3 to 5minutes to complete and thus is particularly useful for assessing communication skills in medical examinations.
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Bmc Health Serv Res · Jan 2012
Empiric antibiotic, mechanical ventilation, and central venous catheter duration as potential factors mediating the effect of a checklist prompting intervention on mortality: an exploratory analysis.
Checklists are clinical decision support tools that improve process of care and patient outcomes. We previously demonstrated that prompting critical care physicians to address issues on a daily rounding checklist that were being overlooked reduced utilization of empiric antibiotics and mechanical ventilation, and reduced risk-adjusted mortality and length of stay. We sought to examine the degree to which these process of care improvements explained the observed difference in hospital mortality between the group that received prompting and an unprompted control group. ⋯ In this analysis, some improvement in mortality associated with prompting was explained by shorter empiric antibiotic duration. However, most of the mortality benefit of prompting was unexplained.
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Reg Anesth Pain Med · Jan 2012
Practice GuidelineAmerican Society of Regional Anesthesia and Pain Medicine checklist for managing local anesthetic systemic toxicity: 2012 version.
In 2010, the American Society of Regional Anesthesia and Pain Medicine (ASRA) issued a practice advisory on local anesthetic systemic toxicity (LAST). The executive summary of this work contained a document that was intended to serve as a checklist for the management of LAST. Based on testing the checklist during a simulated episode of LAST, ASRA has issued an updated version that should replace the previous 2010 version. Electronic copies of the ASRA Checklist, suitable for lamination and inclusion in a local anesthetic toxicity kit, are available from the ASRA Web site (www.asra.com).