Hospital Checklists Are Meant to Save Lives - So Why Do They Often Fail?

Overview

Journal Nature

Specialty Science

Date 2015 Jul 31

PMID 26223609

Citations 17

Authors

Emily Anthes

Affiliations

Soon will be listed here.

Citing Articles

Why are critical event checklists not always used in the perioperative setting?: A retrospective survey.

Clebone A, Klock Jr P, Choi E, Tung A PLoS One. 2025; 20(2):e0314774.

PMID: 40019938 PMC: 11870359. DOI: 10.1371/journal.pone.0314774.

The Intensive Care Unit Bundle Board: A Novel Real-Time Data Visualization Tool to Improve Maintenance Care for Invasive Catheters.

Davis C, Bjoring M, Hursh J, Smith S, Blevins C, Blackstone K Appl Clin Inform. 2023; 14(5):892-902.

PMID: 37666277 PMC: 10651369. DOI: 10.1055/a-2165-5861.

A voice-based digital assistant for intelligent prompting of evidence-based practices during ICU rounds.

King A, Angus D, Cooper G, Mowery D, Seaman J, Potter K J Biomed Inform. 2023; 146:104483.

PMID: 37657712 PMC: 10591951. DOI: 10.1016/j.jbi.2023.104483.

Using i-PARIHS to assess implementation of the Surgical Safety Checklist: an international qualitative study.

Elam M, Louis C, Brindle M, Woodson J, Greece J BMC Health Serv Res. 2022; 22(1):1284.

PMID: 36284293 PMC: 9597976. DOI: 10.1186/s12913-022-08680-1.

Improving Compliance with a Rounding Checklist through Low- and High-technology Interventions: A Quality Improvement Initiative.

Carr L, Padula M, Chuo J, Cunningham M, Flibotte J, OConnor T Pediatr Qual Saf. 2021; 6(4):e437.

PMID: 34345750 PMC: 8322487. DOI: 10.1097/pq9.0000000000000437.

References

Aveling E, McCulloch P, Dixon-Woods M . A qualitative study comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries. BMJ Open. 2013; 3(8):e003039. PMC: 3752057. DOI: 10.1136/bmjopen-2013-003039. View

Russ S, Rout S, Caris J, Mansell J, Davies R, Mayer E . Measuring variation in use of the WHO surgical safety checklist in the operating room: a multicenter prospective cross-sectional study. J Am Coll Surg. 2014; 220(1):1-11.e4. DOI: 10.1016/j.jamcollsurg.2014.09.021. View

Berenholtz S, Pronovost P, Lipsett P, Hobson D, Earsing K, Farley J . Eliminating catheter-related bloodstream infections in the intensive care unit. Crit Care Med. 2004; 32(10):2014-20. DOI: 10.1097/01.ccm.0000142399.70913.2f. View

Conley D, Singer S, Edmondson L, Berry W, Gawande A . Effective surgical safety checklist implementation. J Am Coll Surg. 2011; 212(5):873-9. DOI: 10.1016/j.jamcollsurg.2011.01.052. View

Bion J, Richardson A, Hibbert P, Beer J, Abrusci T, McCutcheon M . 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. BMJ Qual Saf. 2012; 22(2):110-23. PMC: 3585494. DOI: 10.1136/bmjqs-2012-001325. View

Mayer E, Sevdalis N, Rout S, Caris J, Russ S, Mansell J . Surgical Checklist Implementation Project: The Impact of Variable WHO Checklist Compliance on Risk-adjusted Clinical Outcomes After National Implementation: A Longitudinal Study. Ann Surg. 2015; 263(1):58-63. DOI: 10.1097/SLA.0000000000001185. View

Urbach D, Govindarajan A, Saskin R, Wilton A, Baxter N . Introduction of surgical safety checklists in Ontario, Canada. N Engl J Med. 2014; 370(11):1029-38. DOI: 10.1056/NEJMsa1308261. View

Reames B, Krell R, Campbell Jr D, Dimick J . A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. JAMA Surg. 2015; 150(3):208-15. PMC: 4366309. DOI: 10.1001/jamasurg.2014.2873. View

Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S . An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006; 355(26):2725-32. DOI: 10.1056/NEJMoa061115. View

10.

Russ S, Sevdalis N, Moorthy K, Mayer E, Rout S, Caris J . A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project". Ann Surg. 2014; 261(1):81-91. DOI: 10.1097/SLA.0000000000000793. View

11.

Haynes A, Weiser T, Berry W, Lipsitz S, Breizat A, Dellinger E . A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009; 360(5):491-9. DOI: 10.1056/NEJMsa0810119. View

12.

Dixon-Woods M, Leslie M, Tarrant C, Bion J . Explaining Matching Michigan: an ethnographic study of a patient safety program. Implement Sci. 2013; 8:70. PMC: 3704826. DOI: 10.1186/1748-5908-8-70. View