Crisis checklists for in-hospital emergencies: expert consensus, simulation testing and recommendations for a template determined by a multi-institutional and multi-disciplinary learning collaborative

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dc.contributor.author Subbe, Christian P.
dc.contributor.author Kellett, John
dc.contributor.author Barach, Paul
dc.contributor.author Chaloner, Catriona
dc.contributor.author Cleaver, Hayley
dc.contributor.author Cooksley, Tim
dc.contributor.author Korsten, Erik
dc.contributor.author Croke, Eilish
dc.contributor.author Davis, Elinor
dc.contributor.author De Bie, Ashley J.R.
dc.contributor.author Durham, Lesley
dc.contributor.author Hancock, Chris
dc.contributor.author Hartin, Jilian
dc.contributor.author Savijn, Tracy
dc.contributor.author Welch, John
dc.contributor.author Crisis Checklist Collaborative
dc.date.accessioned 2017-06-20T11:39:44Z
dc.date.available 2017-06-20T11:39:44Z
dc.date.issued 2017-05-08
dc.identifier.citation Subbe, C. P., Kellett, J., Barach, P., Chaloner, C., Cleaver, H., Cooksley, T., Korsten, E., Croke, E., Davis, E., De Bie, A. J., Durham, L., Hancock, C., Hartin, J., Savijn, T. and Welch, J. (2017) 'Crisis checklists for in-hospital emergencies: expert consensus, simulation testing and recommendations for a template determined by a multi-institutional and multi-disciplinary learning collaborative', BMC Health Services Research, 17, 334 (8pp). doi: 10.1186/s12913-017-2288-y en
dc.identifier.volume 17
dc.identifier.startpage 1
dc.identifier.endpage 8
dc.identifier.issn 1472-6963
dc.identifier.uri http://hdl.handle.net/10468/4098
dc.identifier.doi 10.1186/s12913-017-2288-y
dc.description.abstract Background: ‘Failure to rescue’ of hospitalized patients with deteriorating physiology on general wards is caused by a complex array of organisational, technical and cultural failures including a lack of standardized team and individual expected responses and actions. The aim of this study using a learning collaborative method was to develop consensus recomendations on the utility and effectiveness of checklists as training and operational tools to assist in improving the skills of general ward staff on the effective rescue of patients with abnormal physiology. Methods: A scoping study of the literature was followed by a multi-institutional and multi-disciplinary international learning collaborative. We sought to achieve a consensus on procedures and clinical simulation technology to determine the requirements, develop and test a safe using a checklist template that is rapidly accessible to assist in emergency management of common events for general ward use. Results: Safety considerations about deteriorating patients were agreed upon and summarized. A consensus was achieved among an international group of experts on currently available checklist formats performing poorly in simulation testing as first responders in general ward clinical crises. The Crisis Checklist Collaborative ratified a consensus template for a general ward checklist that provides a list of issues for first responders to address (i.e. ‘Check In’), a list of prompts regarding common omissions (i.e. ‘Stop & Think’), and, a list of items required for the safe “handover” of patients that remain on the general ward (i.e. ‘Check Out’). Simulation usability assessment of the template demonstrated feasibility for clinical management of deteriorating patients. Conclusions: Emergency checklists custom-designed for general ward patients have the potential to guide the treatment speed and reliability of responses for emergency management of patients with abnormal physiology while minimizing the risk of adverse events. Interventional trials are needed. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher BioMed Central en
dc.relation.uri https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2288-y
dc.rights © 2017, by the Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Rapid response teams en
dc.subject Crisis en
dc.subject Reliability en
dc.subject Patient safety en
dc.subject Simulation en
dc.subject Learning collaborative en
dc.title Crisis checklists for in-hospital emergencies: expert consensus, simulation testing and recommendations for a template determined by a multi-institutional and multi-disciplinary learning collaborative en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Simon Woodworth, Business Information Systems, Cork University Business School, University College Cork, Cork, Ireland. +353-21-490-3000 Email: s.woodworth@ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.description.status Peer reviewed en
dc.identifier.journaltitle BMC Health Services Research en
dc.internal.IRISemailaddress s.woodworth@ucc.ie en
dc.identifier.articleid 334


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© 2017, by the Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Except where otherwise noted, this item's license is described as © 2017, by the Author(s). Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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