Checklists have been used in healthcare practice to ensure that clinical practice guidelines are followed. An example is the WHO Surgical Safety Checklist developed for the World Health Organization and found to have a large effect on improving patient safety and subsequently found to have a nil effect in a cohort of hospitals in the Province of Ontario in Canada. According to a meta-analysis after introduction of the checklist mortality dropped by 23% and all complications by 40%, higher-quality studies are required to make the meta-analysis more robust. However, checklist use in healthcare has not always met with success and the transferability between settings has been questioned. In the UK, a study on the implementation of a checklist for provision of medical care to elderly patients admitting to hospital found that the checklist highlighted limitations with frailty assessment in acute care and motivated teams to review routine practices, but that work is needed to understand whether and how checklists can be embedded in complex multidisciplinary care.
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Excessive dependence of checklists may hinder performance when dealing with a time-critical situation, for example a medical emergency or an in-flight emergency. Checklists should not be used as a replacement for common sense. Intensive training including rote-learning of checklists can help integrate use of checklists with more adaptive and flexible problem solving techniques.
Recent Examples on the Web Fortunately, most of the following checklist items are reasonably easy to implement, without requiring much heavy lifting. — Russ Wiles, azcentral, "Follow these steps to keep your personal finances in check during the coronavirus pandemic," 29 Mar. 2020 In Seattle, officials are distributing hygiene kits and provide tips and checklists on prevention to shelter operators. — Popular Science, "COVID-19 could hit homeless communities hard," 18 Mar. 2020 In Seattle, officials are distributing hygiene kits and provide tips and checklists on prevention to shelter operators. — Michael Cousineau, The Conversation, "Coronavirus could hit homeless hard, and that could hit everyone hard," 13 Mar. 2020 True, the building was missing a few amenities: doorman, garage, gym (all must-haves on Henderson’s original checklist). — Jennifer Fernandez, House Beautiful, "Shawn Henderson Turned This Turn-of-the-Century NYC Apartment Into a Hidden Gem," 10 Mar. 2020 Most significantly, the copilot had had difficulty locating checklists and performing in emergency scenarios. — Fortune, "After first 737 Max crash, why did Boeing’s pilot warning fail to stop second plane from going down?," 9 Mar. 2020 The second document provided a checklist that included developing contingency plans, establishing key relationships across communities, providing supplies to prevent spread at events and planning for staff absences. — Alison Dirr, Milwaukee Journal Sentinel, "Wisconsin Elections Commission issues guidance on coronavirus ahead of April election," 6 Mar. 2020 Since tackling your entire house and yard at once can be overwhelming, take things one step at a time by following this checklist. — Amanda Garrity, Good Housekeeping, "Follow This Spring Yard Clean Up Checklist to Make Your Patio and Lawn Summer-Ready," 29 Jan. 2020 Elevator buttons have been added to the checklist, too. — Sarah Mervosh, New York Times, "These 4 People Are Facing the Coronavirus Head-on," 12 Mar. 2020