Checklists

In 2001… a critical-care specialist at Johns Hopkins Hospital named Peter Pronovost decided to give [checklists] a try. He didn’t attempt to make the checklist cover everything; he designed it to tackle just one problem, the one that nearly killed Anthony DeFilippo: line infections.

Pronovost and his colleagues monitored what happened for a year afterward. The results were so dramatic that they weren’t sure whether to believe them: the ten-day line-infection rate went from eleven per cent to zero. So they followed patients for fifteen more months. Only two line infections occurred during the entire period. They calculated that, in this one hospital, the checklist had prevented forty-three infections and eight deaths, and saved two million dollars in costs.

– Atul Gawande, The New Yorker

Acesis provides Dynamic Checklists that are simple to create and efficient to use, saving clinicians time. Since no IT support is needed, clinicians can work with PI staff to develop checklists with questions relevant to the patient or procedure at hand. The design minimizes the need for ‘not applicable,’ improving the effectiveness of a checklist. With Acesis Dynamic Checklists, simple logic can be used hide or show checkboxes or whole sections so that checklist items are never not ‘applicable.’

Atul Gawande makes these points about the additional advantages of checklists:

  • Identify potentially missed steps
  • Identify risks through screening requirements
  • Improve communication between all care-givers

Acesis checklists provide even more benefits:

  • “Dynamic Checklists” maintain relevance to increase efficiency.
  • Fully customized checklists apply to local institutional needs and an appropriate level of detail.
  • Create a checklist and deliver immediately to iPad/tablet devices.
  • Aggregated data can roll up for management dashboard views.

 

Pronovost recruited some more colleagues, and they made some more checklists…. The researchers found that simply having the doctors and nurses in the I.C.U. make their own checklists for what they thought should be done each day improved the consistency of care to the point that, within a few weeks, the average length of patient stay in intensive care dropped by half.

– Atul Gawande, The New Yorker

Fully customizable

The Acesis platform with a built-in Authoring Tool, is the ideal solution within which to plan, develop, and deploy new checklists, tailored to local needs and desired emphasis.