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Checklist Design Reconsidered: Understanding Checklist Compliance and Timing of Interactions
Journal article   Open access

Checklist Design Reconsidered: Understanding Checklist Compliance and Timing of Interactions

Leah Kulp, Aleksandra Sarcevic, Yinan Zheng, Megan Cheng, Emily Alberto and Randall Burd
Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference, v 2020, pp 1-13
Apr 2020
PMID: 32685940
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7368994View
Accepted (AM)Open Access (License Unspecified) Open

Abstract

medical checklist trauma resuscitation mixed methods dynamic checklist video review Checklist design
We examine the association between user interactions with a checklist and task performance in a time-critical medical setting. By comparing 98 logs from a digital checklist for trauma resuscitation with activity logs generated by video review, we identified three non-compliant checklist use behaviors: failure to check items for completed tasks, falsely checking items when tasks were not performed, and inaccurately checking items for incomplete tasks. Using video review, we found that user perceptions of task completion were often misaligned with clinical practices that guided activity coding, thereby contributing to non-compliant check-offs. Our analysis of associations between different contexts and the timing of check-offs showed longer delays when (1) checklist users were absent during patient arrival, (2) patients had penetrating injuries, and (3) resuscitations were assigned to the highest acuity. We discuss opportunities for reconsidering checklist designs to reduce non-compliant checklist use.

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8 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#4 Quality Education

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Collaboration types
Domestic collaboration
Web of Science research areas
Computer Science, Cybernetics
Computer Science, Information Systems
Computer Science, Interdisciplinary Applications
Computer Science, Theory & Methods
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