Since its initial introduction in the 1930s, checklists have proven their worth in aviation and have been increasingly promoted in medicine as a cognitive aid that can improve patient outcomes. This article reviews the different types of checklists, how they aid user performance, the barriers to their adoption, and strategies for increasing user acceptance of checklists.
BerenholtzS. M.PronovostP. J.LipsettP. A.HobsonD.EarsingK.FarleyJ. E.. . . DormanT. (2004). Eliminating catheter-related bloodstream infections in the intensive care unit. Critical Care Medicine, 32, 2014–2020.
2.
BoyneW. J. (2013). The checklist. Air Force Magazine, 96(8), 52–56.
3.
CatchpoleK.RussS. (2015). The problem with checklists. BMJ Quality & Safety, 24(9), 545–549.
4.
Committee on Patient Safety and Quality Improvement & Committee on Professional Liability. (2015). Clinical guidelines and standardization of practice to improve outcomes. Committee Opinion, 629, 1–3.
5.
DeganiA.WienerE. L. (1993). Cockpit checklists: Concepts, design, and use. Human Factors, 35, 345–359.
6.
DonaldsonM. S.CorriganJ. M.KohnL. T. (Eds.). (2000). To err is human: Building a safer health system (Vol. 6). San Diego, CA: National Academies Press.
7.
GabaD. M. (2013). Perioperative cognitive aids in anesthesia: What, who, how, and why bother?Anesthesia & Analgesia, 117(5), 1033–1036.
8.
GawandeA. (2009). The checklist manifesto: How to get thing right. New York, NY: Metropolitan Books.
9.
HalesB.TerblancheM.FowlerR.SibbaldW. (2008). Development of medical checklists for improved quality of patient care. International Journal for Quality in Health Care, 20, 22–30.
10.
HaynesA. B.WeiserT. C.BerryW. R.LipsitzS. R.BreizatA-H. S.Patchen DellingerE.,. . . Safe Surgery Saves Lives Surgery Group. (2009). A surgical safety checklist to reduce morbidity and mortality in a global populationNew England Journal of Medicine, 360, 491–499.
11.
HelmreichR. L.MerrittA. C.WilhelmJ. A. (1999). The evolution of crew resource management training in commercial aviation. The International Journal of Aviation Psychology, 9, 19–32.
HobbsA.WilliamsonA. (2002). Skills, rules and knowledge in aircraft maintenance: errors in context. Ergonomics, 45, 290–308.
14.
KeeblerJ. R.LazzaraE. H.PatzerB. S.PalmerE. M.PlummerJ. P.SmithD. C.. . . RissR. (2016). Meta-analyses of the effects of standardized handoff protocols on patient, provider, and organizational outcomes. Human Factors, 58, 1187–1205.
15.
KurrckM. M.DevitcJ. H.CohenM. (1998). Cardiac arrest in the OR: How are our ACLS skills?Canadian Journal of Anaesthesia, 45, 130–132.
NormanD. A. (1991). Cognitive artifacts. In CarrollJ. M. (Ed.), Designing interaction: Psychology at the Human-computer Interface (pp. 17–38). Cambridge, UK: Cambridge University Press.
18.
PronovostP.NeedhamD.BerenholtzS.SinopoliD.ChuH.CosgroveS.. . . BanderJ. (2006). An intervention to decrease catheter-related bloodstream infections in the ICU. New England Journal of Medicine, 355, 2725–2732.
19.
RasmussenJ. (1983). Skills, rules, and knowledge; signals, signs, and symbols, and other distinctions in human performance models. IEEE Transactions on Systems, Man, and Cybernetics, 3, 257–266.
20.
SchmutzJ.EppichW. J.HoffmannF.HeimbergE.ManserT. (2014). Five steps to develop checklists for evaluating clinical performance: An integrative approach. Academic Medicine, 89, 996–1005.
SimmonsJ. (2010). Use of medical checklist as tools, not cure-alls, for patient safety problems. Washington, DC: Health Leaders Media.
24.
StarmerA. J.SpectorN. D.SrivastavaR.WestD. C.RosenbluthG.AllenA. D., . . . I-PASS Study Group. (2014). Changes in medical errors after implementation of a handoff program. New England Journal of Medicine, 371, 1803–1812.
25.
WilsonC. (2013). Checklists. In DunkerleyM.SchererH. (Ed.), Credible checklists and quality questionnaires: A user-centered design method (pp. 1–27). Boston, MA: Morgan Kaufmann.
26.
WolffA. M.TaylorS. A.McCabeJ. F. (2004). Using checklists and reminders in clinical pathways to improve hospital inpatient care. Medical Journal of Australia, 181(8), 428–431.
27.
ZeeniC.CarabiniL. M.GouldR. W.BebawyJ. F.HemmerL. B.MorelandN. C.. . . GuptaD. K. (2014). The implementation and efficacy of the Northwestern high risk spine protocol. World Neurosurgery, 82, e815–e823.
