How to develop an effective obstetric checklist

Scorecard implementation improves identification of postpartum patients at risk for venous thromboembolism

“…Current research suggests that tools such as checklists are most effective when there is a large gap between recommended performance and actual provider or institutional performance. 12 During both investigation periods, high-risk patients were 3 times more likely to receive prophylaxis if a physician had completed a scorecard in their chart. Interestingly, the chemoprophylaxis order rate for identified high-risk patients was similar in the pre and post periods, which suggests our educational interventions were successful at increasing scorecard completion and, as a result, identifying more patients at high risk.…”

“…17 While feedback on the individual level can incite defensive behavior, group feedback often encourages individual physicians to be a part of a common goal. 12,15 It was with this knowledge that we performed chart "spot checks" during the intervention period, with results announced to the Labor and Delivery team. Additional research noted increased compliance when respected colleagues and departmental leadership were vocally supportive of guidelines.…”

“…Additional research noted increased compliance when respected colleagues and departmental leadership were vocally supportive of guidelines. 12,15 Using Grand Rounds as a platform to discuss patient safety issues, VTE risk, and prophylaxis was a strategic opportunity for demonstrating chairman-level commitment to addressing these problems. Overall, the dramatic improvement in scorecard completion and VTE prophylaxis rates in our study are likely due to use of all the above proven methods to promote behavior change.…”

Public (Skin) Health and the publishing source bias of Austrian information material

“…For standardized evaluation and processing of data, we developed four analysis tools; one checklist and three scales [17,18]. For an iterative screening checklist, we used characterising factors as suggested in the literature with a presumably impact on skin health promotion and tanning behaviour (Table 2) [19,20].…”

Severe hypertension in pregnancy: Using dynamic checklists to save lives

“…Over the past decade, the use of clinical protocols and dynamic checklists has become a standard approach to ensure patient safety and improve the care provided to mothers and their newborns. [11] The clinical management of severe acute-onset pregnancy hypertension lends itself to dynamic checklists.…”