2022 journal article

Checklists in Healthcare: Operational Improvement of Standards using Safety Engineering-Project CHOISSE-A framework for evaluating the effects of checklists on surgical team culture

APPLIED ERGONOMICS, 103.

By: G. Perera n , L. Hey*, K. Chen n , M. Morello  n, B. McConnell n  & J. Ivy n

co-author countries: United States of America πŸ‡ΊπŸ‡Έ
author keywords: Checklists; Teamwork; Surgical-safety
MeSH headings : Checklist / methods; Cohort Studies; Delivery of Health Care; Humans; Pilot Projects; Prospective Studies
Source: Web Of Science
Added: June 20, 2022

The CHOISSE multi-stage framework for evaluating the effects of electronic checklist applications (e-checklists) on surgical team members' perception of their roles, performance, communication, and understanding of checklists is introduced via a pilot study. A prospective interventional cohort study design was piloted to assess the effectiveness of the framework and the sociotechnical effects of the e-checklist. A Delphi process was used to design the stages of the framework based on literature and expert consensus. The CHOISSE framework was applied to guide the implementation and evaluation of e-checklists on team culture for ten pilot teams across the US over a 24-week period. The pilot results revealed more engagement by surgeons than non-surgeons, and significant increases in surgeons' perception of communication and engagement during surgery with a small sample. Mixed methods analysis of the data and lessons learned were used to identify iterative improvements to the CHOISSE framework and to inform future studies.