Association of Checklist Use in Endotracheal Intubation With Clinically Important Outcomes

Turner, Jonathan S.; Bucca, Antonino; Propst, Steven L.; Ellender, Timothy J.; Sarmiento, Elisa; Menard, Laura; Hunter, Benton R.

doi:10.1001/jamanetworkopen.2020.9278

Cited by 47 publications

(28 citation statements)

References 38 publications

(433 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Checklists and other decision support tools have received growing attention in medicine over the past decade as a means to reduce avoidable medical errors. Checklists have been shown to improve clinical outcomes in a wide variety of situations ( 35 , 36 ) although they may not be useful in every clinical situation ( 37 , 38 ). At the same time, some providers have resisted the implementation of checklists for various reasons; for example, providers who perceive the checklists as redundant or unhelpful are less likely to use them ( 39 ).…”

Section: Discussionmentioning

confidence: 99%

Checklists Improve Team Performance During Simulated Extracorporeal Membrane Oxygenation Emergencies: A Randomized Trial

Stentz

Wiepking

Hodge

et al. 2021

Critical Care Explorations

View full text Add to dashboard Cite

Objectives: Extracorporeal membrane oxygenation–related complications are potentially catastrophic if not addressed quickly. Because complications are rare, high-fidelity simulation is recommended as part of the training regimen for extracorporeal membrane oxygenation specialists. We hypothesized that the use of standardized checklists would improve team performance during simulated extracorporeal membrane oxygenation emergencies. Design: Randomized simulation-based trial. Setting: A quaternary-care academic hospital with a regional extracorporeal membrane oxygenation referral program. Subjects: Extracorporeal membrane oxygenation specialists and other healthcare providers. Interventions: We designed six read-do checklists for use during extracorporeal membrane oxygenation emergencies using a modified Delphi process. Teams of two to three providers were randomized to receive the checklists or not. All teams then completed four simulated extracorporeal membrane oxygenation emergencies. Measurements and Main Results: Simulation sessions were video-recorded, and the number of critical tasks performed and time-to-completion were compared between groups. A survey instrument was administered before and after simulations to assess participants’ attitudes toward the simulations and checklists. We recruited 36 subjects from a single institution, randomly assigned to 15 groups. The groups with checklists completed more critical tasks than participants in the control groups (90% vs 75%; p < 0.001). The groups with checklists performed a higher proportion of both nontechnical tasks (71% vs 44%; p < 0.001) and extracorporeal membrane oxygenation–specific technical tasks (94% vs 86%; p < 0.001). Both groups reported an increase in reported self-efficacy after the simulations (p = 0.003). After adjusting for multiple comparisons, none of the time-to-completion measures achieved statistical significance. Conclusions: The use of checklists resulted in better team performance during simulated extracorporeal membrane oxygenation emergencies. As extracorporeal membrane oxygenation use continues to expand, checklists may be an attractive low-cost intervention for centers looking to reduce errors and improve response to crisis situations.

show abstract

Section: Discussionmentioning

confidence: 99%

Checklists Improve Team Performance During Simulated Extracorporeal Membrane Oxygenation Emergencies: A Randomized Trial

Stentz

Wiepking

Hodge

et al. 2021

Critical Care Explorations

View full text Add to dashboard Cite

show abstract

“…Implementation of the checklist was associated with rapid reductions in mortality and complications among patients who were undergoing surgery [ 27 , 28 ]. Reductions in complication rates have been reported after the introduction of RSI checklists applied to emergency intubation in the emergency department [ 29 ], and in the intensive care unit [ 30 ]. However, it is important to understand the limitations of checklist use.…”

Section: Methodsmentioning

confidence: 99%

“…They also do not necessarily modify the presence of difficult patient factors. This may account for some recent studies which report a lack of effect in some clinical endpoints after the implementation of checklists in emergency intubation practice [ 30 – 32 ]. A recent study in pre-hospital practice among experienced Scandinavian providers reported benefits and disadvantages in checklist use as well as highlighting considerable variation in checklist practice [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

Rapid sequence induction: where did the consensus go?

Avery

Morton

Raitt³

et al. 2021

Scand J Trauma Resusc Emerg Med

View full text Add to dashboard Cite

Background Rapid Sequence Induction (RSI) was introduced to minimise the risk of aspiration of gastric contents during emergency tracheal intubation. It consisted of induction with the use of thiopentone and suxamethonium with the application of cricoid pressure. This narrative review describes how traditional RSI has been modified in the UK and elsewhere, aiming to deliver safe and effective emergency anaesthesia outside the operating room environment. Most of the key aspects of traditional RSI – training, technique, drugs and equipment have been challenged and often significantly changed since the procedure was first described. Alterations have been made to improve the safety and quality of the intervention while retaining the principles of rapidly securing a definitive airway and avoiding gastric aspiration. RSI is no longer achieved by an anaesthetist alone and can be delivered safely in a variety of settings, including in the pre-hospital environment. Conclusion The conduct of RSI in current emergency practice is far removed from the original descriptions of the procedure. Despite this, the principles – rapid delivery of a definitive airway and avoiding aspiration, are still highly relevant and the indications for RSI remain relatively unchanged.

show abstract

“…In health, checklists are used universally, they are characterized as a cognitive strategy that ensures adequate preparation through the checking of steps for a given procedure. They are associated with greater safety, as they provide a reduction in accidents, failures or adverse events (7)(8) , in addition to reducing errors and improving the quality of care (9) . Thus, although it is considered pertinent to use a checklist for disinfecting ambulances that transfer patients affected by Covid-19, it is pointed out the relevance of this being the result of a scientific process of construction and validation.…”

Section: Introductionmentioning

confidence: 99%

Construction and validation of checklist for disinfecting ambulances to transport Covid-19 patients

Alexandre

Neto

Silva

et al. 2021

Rev. Gaúcha Enferm.

View full text Add to dashboard Cite

Objective To build and validate a checklist for disinfecting ambulances transporting patients with Covid-19. Method Methodological study composed by the construction of a checklist and validation by 42 professionals, of which 35 professionals had expertise in patient transport/transfer and seven in hospital infection control. The item with a minimum agreement of 80% was considered valid, based on the Content Validation Index and binomial test. Results The checklist had the steps performed for terminal disinfection of ambulances. It had 54 items, which included the personal protective equipment and used materials, disinfection of the driver's cabin, equipment, and the patient care cabin. The minimum agreement obtained was 85% and the mean of the Content Validation Index was 0.96. Conclusion The checklist was considered valid in terms of content and can be used to disinfect ambulances transporting patients with Covid-19.

show abstract

Association of Checklist Use in Endotracheal Intubation With Clinically Important Outcomes

Cited by 47 publications

References 38 publications

Checklists Improve Team Performance During Simulated Extracorporeal Membrane Oxygenation Emergencies: A Randomized Trial

Checklists Improve Team Performance During Simulated Extracorporeal Membrane Oxygenation Emergencies: A Randomized Trial

Rapid sequence induction: where did the consensus go?

Construction and validation of checklist for disinfecting ambulances to transport Covid-19 patients

Contact Info

Product

Resources

About