Recipes for checklists and bundles: one part active ingredient, two parts measurement

Chopra, Vineet; Shojania, Kaveh G

doi:10.1136/bmjqs-2012-001480

Cited by 24 publications

(17 citation statements)

References 29 publications

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“…Successful replication of interventions requires us to know why and how they work, that is, to understand the mechanism of effect 13. A checklist will support a well-defined procedural task that may be vulnerable to problems with memory, task omissions or order.…”

Section: ‘…That Leads To Better Outcomes’mentioning

confidence: 99%

The problem with checklists

2015

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Section: ‘…That Leads To Better Outcomes’mentioning

confidence: 99%

The problem with checklists

2015

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“…The question is what the active ingredient of this intervention is or that if it works particularly if combined with co-interventions 89 90. If the co-interventions are crucial for the intervention to have its effect, this will determine the generalisability to other hospitals and context 87.…”

Section: Discussionmentioning

confidence: 99%

Meta-analysis of the central line bundle for preventing catheter-related infections: a case study in appraising the evidence in quality improvement

Mheen

Bodegom‐Vos

2015

BMJ Qual Saf

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That the central line bundle could receive only a moderate evidence rating may suggest that the GRADE framework, developed mostly for traditional clinical therapies, requires modification for QI interventions. GRADE does not distinguish prospective trials (eg, controlled before-after studies and interrupted time series) from lower-level observational studies. On the other hand, that the two highest quality studies reached different conclusions makes it difficult to conclude that future research would not change the effect estimate, especially given evidence of secular trends and the variability of co-interventions to ensure bundle compliance, which created heterogeneity across studies.

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“…The surgical checklist comes to mind in this regard. Non-experts often do not recognise that achieving improvement can require changes to teamwork, culture or workflow that make the overall effort far from simple or easy,1 2 and perhaps not even effective at all,3 4 when unaccompanied by these other more labour-intensive changes. The intervention requires much more effort or expertise than generally recognised. Medication reconciliation presents an example of this type.…”

Section: Problematic Improvementsmentioning

confidence: 99%