03-17-2010 11:38 AM - edited 03-17-2010 11:39 AM
Non-pharmacy example, but in the interface development area here as P1S, we've been looking at checklists as supporting pieces of documentation. Documentation is essential because it includes the complete details about a particular process. However, people will not abide by policies that state "always go to the documentation", particularly when it is a task that people are already familiar with.
Our checklists are intended to keep people near the documentation without requiring a full re-read every time. We'll boil the essentials of the documentation down to the essential 4-9 steps and provide a form where someone could check it off online or print it out and check on paper.
The current thinking is that we're not going to require people to file checklists "proving" they performed all steps. Rather, we're going to look at the results of their work. If someone forgets an essential step and they're not using the checklist, directing them to that checklist again is an appropriate corrective measure.
Luckily, for the most part we're not performing tasks as serious as counting that all materials brought into the surgery room are accounted for outside of the patient's body. However, as anyone in Health IT is aware these days, the regulations surrounding proper use of PHI (such as HITECH) have upped the stakes for anyone in this industry. We've all got to find ways to bring absolute consistency to people's behaviors related to proper management of PHI.
04-13-2010 09:01 AM
With all the checklist chatter and the release of VeriForm, I decided to read Gawande's book. I agree with BobJ that it is an excellent read. His style is easy to read and he continues to keep you interested by using real world examples of the points he makes. He does a good job bringing in what other industries have done to promote safety, good communication, and teamwork. His recommendation of using checklists does not just touch on being a memory aid, but as a way to change the healthcare culture to promote the necessary teamwork to protect the patient and provide better healthcare.
Some of the key points I took away from the book were:
I highly recommend "The Checklist Manifesto" if you have any interest in patient safety and how to improve healthcare. I'm curious to hear the thoughts from some of you on the front lines about these points. Are Gawande's thoughts and recommendations realistic or is this too idealistic?
04-13-2010 04:02 PM
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