Articles: checklist.
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The Healthy Kids Check aims to gather health information, identify health problems and promote healthy lifestyles around the time of the 4 years of age vaccinations. It consists of a checklist of examinations and assessments, six of which are mandatory. ⋯ The proposed examination enables general practitioners to remain positively engaged with families and contribute toward the health surveillance of preschool children. Changes to the Medicare Benefits Schedule, which support time based reimbursement for preventive healthcare may encourage greater uptake of the Healthy Kids Check.
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Qual Saf Health Care · Oct 2010
Simulation and patient safety: evaluative checklists for central venous catheter insertion.
In the advent of concerns for patient safety, simulation training is emerging as a method to train healthcare providers to perform invasive procedures such as central venous catheter (CVC) insertion while minimising harmful complications to the patient. New technologies in medical simulation have begun to shift research attention to the performance component of clinical competency. Accurate assessment of healthcare provider competence is a major priority in medical education necessitating the development of valid and reliable assessment tools. ⋯ Ease of use, ability to be completed by a non-expert, categorical breakdown of critical actions involved in CVC insertion and the need for a comprehensive stepwise procedural checklist are discussed. The development of an ideal checklist may improve future competency-based training and performance evaluation in the clinical setting. A more thorough understanding of the status of checklists as evaluation tools in assessing performance of invasive procedures will lead to better training protocols and ultimately to improved patient safety.
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We have previously demonstrated that the use of a daily "Quality Rounds Checklist" (QRC) can increase compliance with evidence-based prophylactic measures and decrease complications in a busy trauma intensive care unit (ICU) over a 3-month period. This study was designed to determine the sustainability of QRC use over 1 year and examine the relationship between compliance and outcome improvement. ⋯ The use of a QRC facilitates sustainable improvement in compliance rates for clinically significant prophylactic measures in a busy Level I trauma ICU. The daily use of the QRC, requiring just a few minutes per patient to complete, equates to cost-effective improvement in patient outcomes.
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Int J Qual Health Care · Oct 2010
Perspectives in quality: designing the WHO Surgical Safety Checklist.
The World Health Organization's Patient Safety Programme created an initiative to improve the safety of surgery around the world. In order to accomplish this goal the programme team developed a checklist with items that could and, if at all possible, should be practised in all settings where surgery takes place. ⋯ The authors of the WHO Surgical Safety Checklist drew lessons from the aviation experience to create a safety tool that supports essential clinical practice. In order to inform the methodology for development of future checklists in health care, we review how we applied lessons learned from the aviation experience in checklist development to the development of the Surgical Safety Checklist and also discuss the differences that exist between aviation and medicine that impact the use of checklists in health care.
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Comment Letter
Re: The World Health Organisation surgical safety checklist.