Use Of Checklist Research Articles

PENDAMPINGAN IMPLEMENTASI POS SIKLUS PEMBELIAN BAHAN BAKU LOKAL PADA PERUSAHAAN TEKSTIL DI SURABAYA

The community service activity carried out at PT JIMAS is an activity to assist the implementation of the Standard Operating Procedure (SOP) cycle for purchasing local raw materials. This activity was carried out due to changes in procedures and documents and requests for new documents in the context of applying for ISO 9001:2015 certification. Assistance is provided to employees in the purchasing department of local raw materials. The goal is the employee to understand and carry out the new procedure and use the new document. Community service activities include making video tutorials and providing assistance to employees. Video tutorial explains the use of compliance checklists for both SOP and local raw material documents. The purpose of displaying SOP and these documents is to suit PT JIMAS current business environment conditions, as well as to help the company when conducting a compliance audit, the implementation of which is through audit documents in the form of a checklist of audit compliance. The results of this community service can help PT JIMAS in its internal control and as a requirement for ISO 9001; 2015.

Uncovering pedagogical gaps in a chemistry classroom: Implications for teaching and learning

This study was carried out to uncover the pedagogical gaps by characterizing the teaching practices of chemistry within a teacher education institution and subsequently, identifying the prevalent, non-prevalent and unobserved teaching practices. Accordingly, this implementation study employed the classroom observation method. The one-semester implementation of 11 chemistry lessons of a university lecturer was observed using a psychometrically-validated observation checklist comprises 50 items or indicators that measure six principles (dimensions). The use of the observation checklist entails checking whether each indicator is observed or otherwise during classroom observations. With a frequency of more than 25% to be considered prevalent, the findings indicate that the lecturer prevalently “maintained a scaffolding of instructional alignment” (62.5%), “offered quality learning environments, resources, and technology” (57.1%), and “promoted positive beliefs, attitudes, and behavioral patterns” (54.5%). However, it was a non-prevalent practice in “encouraging intellectual curiosity” (8.3%), and “promoting an atmosphere of critical thinking and inquiry” (14.3%). The practice of “offering a varied learning atmosphere” was, regrettably, non-existent (0%). The pedagogical gaps uncovered are discussed in terms of the needed customized staff development on teaching and learning in teacher education, particularly the content coverage of pedagogy (or teaching models), and the pedagogical coverage of pedagogy.

ID: 217100 Check, Check, Double Check: Intraoperative Checklists Improve Stereotactic Localization Precision in Deep Brain Stimulation Surgery

The effectiveness of deep brain stimulation (DBS) therapy is highly dependent on the accurate and precise implantation of electrodes. Numerous potential sources of targeting error exist, including poor planning image quality, failure of accurate fusion between computed tomography (CT) and magnetic resonance imaging (MRI), brain shift from loss of cerebrospinal fluid (CSF) or pneumocephalus, equipment malfunction, and operator error. The use of detailed checklists to minimize error and prevent adverse events has become commonplace in high-risk professions such as surgery and aviation (1). We report our department’s use of a 58-point intraoperative checklist to improve DBS accuracy and mitigate potential sources of error.

Compliance With the World Health Organization Surgical Safety Checklist at a Tertiary Care Hospital: A Closed Loop Audit Study.

The WHO launched the "Safe Surgery Saves Lives" campaign in 2008 to improve patient safety during surgery. The campaign includes the use of the WHO Surgical Safety Checklist, which has been proven effective in reducing complications and mortality rates in several studies. This article discusses a clinical audit at a tertiary healthcare facility that assesses compliance with all three components of the checklist to minimize errors and improve safety standards. This prospective, observational, closed-loop clinical audit study was conducted at Hayatabad Medical Complex, a tertiary care public sector hospital located in Peshawar, Pakistan. The audit aimed to assess compliance with the WHO Surgical Safety Checklist. The first phase of the audit cycle commenced on October 5, 2022, and involved collecting data from 91 surgical cases in randomly selected operating rooms. Following the completion of the first phase on December 13, 2022, an educational intervention was then conducted on December 15 to underscore the significance of adhering to the checklist, and the second phase of data collection began the following day, ending on February 22, 2023. The results were analyzed using SPSS Statistics version 27.0. The first phase of the audit showed that there was poor compliance with the latter two parts of the checklist. Certain components of the WHO Surgical Safety Checklist were well-complied with, including patient identity confirmation (95.6%), obtaining informed consent (94.5%), and counting of sponges and instruments (95.6%), while the lowest compliance rates were in recording allergies (26.3%), assessing blood loss risk (15.3%), introducing team members (62.6%), and inquiring about patient recovery concerns (64.8%, 34%, and 20.8% for surgeons, anesthetists, and nurses, respectively). In the second phase, after an educational intervention, compliance with the checklist improved significantly, particularly for those components with low compliance rates in the first phase, marking recording allergies (89.0%), introducing team members 91.2%), and inquiring about patient recovery concerns (79.1%, 73.6%, and 70.3% for surgeons, anesthetists, and nurses, respectively). The study showed that education is a critical factor in improving compliance with the WHO Surgical Safety Checklist. The study suggests that overcoming the obstacles to implementing the checklist requires a collaborative environment and effective instruction. It emphasizes the importance of adhering to the checklist in all surgical settings.

Predictors of Speech Language Pathology Referral Following Pediatric Concussion Using a Speech Language Checklist: A Brief Report.

Speech language pathologists (SLPs) have the training to treat pediatric concussion issues in communication; however, they have traditionally not been included in initial concussion treatment. Despite physician understanding of SLP engagement in traumatic brain injury, SLP referrals happen only after significant issues in returning to school occurred. Therefore, the purpose of this study was to investigate predictors of physician referral to SLP using an SLP screening checklist. This was a retrospective, cross-sectional study from an academic outpatient clinic. Our study included 60 concussion patients (57% female, 67% white, age: 18.3 ± 4.0 years) who were evaluated by specialist physicians. The independent variables include age, sex, and the speech screening checklist domains (attention, memory/organization, social interactions, word finding, executive function) and their associated subcategories. The primary study outcome was referral to SLP following concussion. Twenty-six patients (43%) were referred to SLP. The speech checklist domains significantly associated with a referral to SLP were attention and memory/organization. Individuals who reported trouble with attention or memory/organization on the speech language checklist were most likely to be referred in a concussion treatment plan. The use of a SLP checklist during patient visits may expedite referrals to SLP, achieve earlier therapeutic intervention, and facilitate recovery.

Increasing the margin of patient safety for periodontal and implant treatments: The role of human factors.

Early complications following periodontal and dental implant surgeries are typically attributed to technique or poor biological response, ignoring the possibility of the human element. Interestingly, significant experience is not correlated with increased success, whereas evidence supports the impact of clinical behavior on patient outcome. This is the result of errors, much like those scrutinized in other high-risk technical fields, such as aviation. What can be surprising is that those who make these errors are very well acquainted with best practices. Given this, how is it possible for the conscientious practitioner to fail to apply protocols that are nonetheless very well known? Recently, the concepts of human and organizational factors have been translated to medicine, though dentistry has been slow to recognize their potential benefit. This review lists specific human factor behaviors, such as use of checklists and crew resource management, which might improve postsurgical outcome.

CARE Guidelines for Case Reports: Explanation and Elaboration Document. Translation into Russian

Background. Well-written and transparent case reports (1) reveal early signals of potential benefits, harms, and information on the use of resources; (2) provide information for clinical research and clinical practice guidelines, and (3) inform medical education. High-quality case reports are more likely when authors follow reporting guidelines. During 2011–2012, a group of clinicians, researchers, and journal editors developed recommendations for the accurate reporting of information in case reports that resulted in the CARE (CAse REport) Statement and Checklist. They were presented at the 2013 International Congress on Peer Review and Biomedical Publication, have been endorsed by multiple medical journals, and translated into nine languages.Objectives. This explanation and elaboration document has the objective to increase the use and dissemination of the CARE Checklist in writing and publishing case reports.Article design and setting. Each item from the CARE Checklist is explained and accompanied by published examples. The explanations and examples in this document are designed to support the writing of high-quality case reports by authors and their critical appraisal by editors, peer reviewers, and readers.Results and conclusion. This article and the 2013 CARE Statement and Checklist, available from the CARE website [www.care-statement.org] and the EQUATOR Network [www.equator-network.org], are resources for improving the completeness and transparency of case reports.Source. This article is a translation of the original paper «CARE guidelines for case reports: explanation and elaboration document» in the Journal of Clinical Epidemiology (doi: 10.1016/j.jclinepi.2017.04.026), prepared under the permission of the copyright holder (Elsevier Inc.), with supervision from the Scientific Editor by Professor E.G. Starostina, MD, PhD (translator) (Moscow, Russia). Present translation was first published in Digital Diagnostics. doi: 10.17816/DD105291. It is published with minor changes related to the literary editing of the translation itself. Keywords: case report; case study; EQUATOR network; health research reporting guidelines; CARE guideline; timelines; N-of-1 For citation: Riley David S., Barber Melissa S., Kienle Gunver S., Aronson Jeffrey K., von Schoen-Angerer Tido, Tugwell Peter, Kiene Helmut, Helfand Mark, Altman Douglas G., Sox Harold, Werthmann Paul G., Moher David, Rison Richard A., Shamseer Larissa, Koch Christian A., Sun Gordon H., Hanaway Patrick, Sudak Nancy L., Kaszkin-Bettag Marietta, Carpenter James E., Gagnier Joel J. CARE Guidelines for Case Reports: Explanation and Elaboration Document. Translation into Russian. Voprosy sovremennoi pediatrii — Current Pediatrics. 2023;22(2):88–108. (In Russ). doi: https://doi.org/10.15690/vsp.v22i2.2540

Use of global rating scales and checklists in clinical simulation-based assessments: a protocol for a scoping review

IntroductionAssessment in health sciences education remains a hotly debated topic, with measures of competency and how to determine them in simulation-based assessments enjoying much of the focus. Global rating scales...

Knowledge and attitudes towards surgical safety checklists: a survey of veterinary professionals

To determine the knowledge and use of safe surgical checklists (SSCs) and surgical safety practices (SSPs) in different sectors of veterinary medicine. 1,235 small animal veterinarians who perform surgery in the United States and Canada. An online survey was distributed to veterinarians through social media platforms, specialty listservs, and the Veterinary Information Network. Respondents provided information regarding their role, practice type, as well as knowledge, attitudes, and use of SSCs. Respondents also provided information about performance of SSPs including team introductions; confirmation of antibiotic prophylaxis, patient identity, procedure to be performed; and confirmation of completion of all procedures. A greater proportion of Diplomates of the American College of Veterinary Surgeons (49/77 [64%]) reported using an SSC than other veterinarians (257/1157 [22%]; P < .0001). A greater proportion of veterinarians working in university and multispecialty hospitals reported using a SSC (71/142 [50%]) than in other practice settings (235/1092 [22%]; P < .0001). Use of a SSC correlated with consistent performance of surgical safety practices listed above (P < .0001). Primary care veterinarians commonly reported not using a SSC because they did not know about them (359/590 [61%]). Of the 507 respondents who had ever used a SSC, 333 (66%) believed the checklist had prevented an error or complication. Despite widespread knowledge and adoption of SSC use in human medicine, knowledge and use of SSCs is lacking in primary care veterinary practice. Checklist use has previously been shown to decrease post operative complications and in this study was correlated with increased use of SSPs that decreased complications.

Use of an NTSV Checklist to Identify the Cause of Racial Disparities in Cesarean Birth Rates [ID: 1380461

INTRODUCTION: Despite reductions in our overall nulliparous, term, singleton, vertex (NTSV) cesarean birth rates with targeted initiatives, nationally recognized racial disparities also exist at our institution. Implementation of an NTSV checklist in February 2022 enabled evaluation for racial disparities in NTSV care implementation. METHODS: In this IRB-approved, single-institution, retrospective cohort study of NTSV deliveries between July 2021 and June 2022, data were abstracted using EMR reports, customized queries, and manual chart reviews. We analyzed the effect of race, comorbidities, and use of specified interventions on delivery method. The primary aim was to assess for racial disparities in implementation of institutional NTSV initiatives. Secondary aims were to assess the effect of comorbidities and checklist implementation on NTSV cesarean birth rates. RESULTS: Before February 2022, Black NTSV patients were 76% more likely than White counterparts to have cesarean births (odds ratio [OR] 1.76, CI 1.28–2.41). Post-intervention, Black NTSV patients were 6% more likely to have cesarean births (OR 1.06, CI 0.70–1.60). Comparing Black NTSV patients with completed checklists to White counterparts showed no statistically significant difference in likelihood of cesarean birth (OR 1.36, CI 0.49–3.74) or having no NTSV intervention utilized (OR 1.10, CI 0.30–4.03). Black NTSV patients were more likely than White counterparts to have gestational hypertension (OR 1.47, CI 1.05–2.06) or intrauterine growth restriction (OR 2.3, CI 1.24–4.27). CONCLUSION: The NTSV checklist did not reveal statistically significant racial disparities in use of institutional initiatives. NTSV checklist implementation may have contributed to a decreased racial disparity in NTSV cesarean birth rates. A larger sample size would strengthen analysis of the effect of comorbidities, institutional initiatives, and checklist implementation on delivery mode.

High risk delivery checklists: Evaluating stress reduction and communication

ObjectiveImprove communication and decrease stress reduction by consistent use of high-risk delivery checklists. BackgroundCommunication has shown to decrease the risk of sentinel events. Limited knowledge exists on the use of high-risk delivery checklists and its effect on stress and communication. MethodsQualitative methods were used to measure whether communication improved with checklists using a triangulation process. Quantitative methods were used to measure stress related to high-risk deliveries for nurses who were new to the delivery team using pre and post surveys over a three-month period. ResultsResults showed no statistical significance in stress reduction, though several themes were identified for communication while using the checklists. Lack of participation was a major determinant of the study. ConclusionImprovement in communication and stress reduction was identified as stated by participants in the study. Continued research is needed on the impact of checklists in healthcare.

Parent Use of a Safety Checklist to Prevent Their Child's Pica.

The online version contains supplementary material available at 10.1007/s40617-023-00798-w.

HEARTS in the Americas clinical pathway. Strengthening the decision support system to improve hypertension and cardiovascular disease risk management in primary care settings.

HEARTS in the Americas is the regional adaptation of the WHO Global HEARTS Initiative. It is implemented in 24 countries and over 2,000 primary healthcare facilities. This paper describes the results of a multicomponent, stepwise, quality improvement intervention designed by the HEARTS in the Americas to support advances in hypertension treatment protocols and evolution towards the Clinical Pathway. The quality improvement intervention comprised: 1) the use of the appraisal checklist to evaluate the current hypertension treatment protocols, 2) a peer-to-peer review and consensus process to resolve discrepancies, 3) a proposal of a clinical pathway to be considered by the countries, and 4) a process of review, adopt/adapt, consensus and approval of the clinical pathway by the national HEARTS protocol committee. A year later, 16 participants countries (10 and 6 from each cohort, respectively) were included in a second evaluation using the HEARTS appraisal checklist. We used the median and interquartile scores range and the percentages of the maximum possible total score for each domain as a performance measure to compare the results pre and post-intervention. Among the eleven protocols from the ten countries in the first cohort, the baseline assessment achieved a median overall score of 22 points (ICR 18 -23.5; 65% yield). After the intervention, the overall score reached a median of 31.5 (ICR 28.5 -31.5; 93% yield). The second cohort of countries developed seven new clinical pathways with a median score of 31.5 (ICR 31.5 -32.5; 93% yield). The intervention was effective in three domains: 1. implementation (clinical follow-up intervals, frequency of drug refills, routine repeat blood pressure measurement when the first reading is off-target, and a straightforward course of action). 2. treatment (grouping all medications in a single daily intake and using a combination of two antihypertensive medications for all patients in the first treatment step upon the initial diagnosis of hypertension) and 3. management of cardiovascular risk (lower BP thresholds and targets based on CVD risk level, and the use of aspirin and statins in high-risk patients). This study confirms that this intervention was feasible, acceptable, and instrumental in achieving progress in all countries and all three domains of improvement: implementation, blood pressure treatment, and cardiovascular risk management. It also highlights the challenges that prevent a more rapid expansion of HEARTS in the Americas and confirms that the main barriers are in the organization of health services: drug titration by non-physician health workers, the lack of long-acting antihypertensive medications, lack of availability of fixed-doses combination in a single pill and cannot use high-intensity statins in patients with established cardiovascular diseases. Adopting and implementing the HEARTS Clinical Pathway can improve the efficiency and effectiveness of hypertension and cardiovascular disease risk management programs.

The National Implementation of a Community Pharmacy Antimicrobial Stewardship Intervention (PAMSI) through the English Pharmacy Quality Scheme 2020 to 2022.

Since 2020, England's Pharmacy Quality Scheme (PQS) has incentivised increased antimicrobial stewardship (AMS) activities in community pharmacy. In 2020/21, this included the requirement for staff to complete an AMS e-Learning module, pledge to be an Antibiotic Guardian and develop an AMS Action plan. To build and embed these initiatives, in 2021/22, the PQS required the use of the TARGET Antibiotic Checklist (an AMS tool for use when patients present with a prescription for antibiotics to support conducting and recording of a series of safety and appropriateness checks against each prescribed antibiotic). This paper describes the implementation of the national PQS criteria from 2020 to 2022, and details community pharmacies' AMS activities and barriers to implementation of the 2021/22 criteria. A total of 8374 community pharmacies submitted data collected using the TARGET Antibiotic Checklist for 213,105 prescriptions; 44% surpassed the required number for the PQS. Pharmacy teams reported checking the following: duration, dose, and appropriateness of antibiotics; patient allergies and medicine interactions (94-95%); antibiotic prescribing guideline adherence (89%); and the patient's previous use of antibiotics (81%). The prescriber was contacted for 1.3% of TARGET Antibiotic Checklists (2741), and the most common reasons for such contacts were related to dose, duration, and possible patient allergy. A total of 105 pharmacy staff responded to a follow-up questionnaire, which suggested that some AMS principles had been embedded into daily practice; however, the necessary time commitment was a barrier. The PQS was able to incentivise mass AMS activities at pace over consecutive years for England's community pharmacies simultaneously. Future research should monitor the continuation of activities and the wider impacts on primary care.

Missed Nursing Care as a Mediator in the Relationship between Career Calling and Turnover Intention.

To explore the role of missed nursing care in mediating the relationship between career calling and intention to leave among nurses. Increasing nurse turnover is still a major concern in the global healthcare system. The most reliable indicator of turnover is turnover intention. It is crucial to understand its affecting elements to suggest measures to lower nurses' turnover intention. Turnover intention has been linked to career calling and missed nursing care. Little empirical research has investigated the possibility that missed nursing care mediates between career calling and turnover intention. A cross-sectional survey of 347 nurses was conducted. The survey instruments included the General Information Questionnaire, Calling Scale, Missed Nursing Care Scale and Turnover Intention Questionnaire. Structural equation models were used to build the model. This study made use of the STROBE checklist. For 43.8% of nurses, turnover intention was high or very high. Missed nursing care and turnover intention were negatively correlated with career calling. Missed nursing care and turnover intention were positively related. Missed nursing care mediated the relationship between career calling and turnover intention. Career calling and missed nursing care can both influence turnover intention. Career calling can reduce the likelihood of turnover by preventing missed nursing care. Missed nursing care mediated the relationship between career calling and intention to leave. Nursing managers should improve nurses' career calling through professional education and minimize missed nursing care by using electronic nursing reminder devices to reduce turnover intention.

Impact of a Comprehensive ST‐Segment–Elevation Myocardial Infarction Protocol on Key Process Metrics in Black Americans

Impact of a Comprehensive ST‐Segment–Elevation Myocardial Infarction Protocol on Key Process Metrics in Black Americans

An observation checklist for use by residential social workers in juvenile justice institutions

Summary Structured observation can be valuable to complement self or parent reports used for diagnostic information or risk assessment, although this method is hardly used and understudied in residential forensic settings. To fill this void an observation checklist for residential social workers working in juvenile justice institutions was developed, along with an instruction manual and a training program. Findings In the first two sections, this paper describes how an intensive collaboration between residential social workers, clinicians, researchers, and educators resulted in the development (1) and implementation (2) of an observation checklist for residential social workers. The observation checklist captures six concepts: Proactive and Reactive aggression, Hyperactivity, Impulsivity, Signs of depressed mood, and Lack of reciprocity. In a third, final section, this paper provides a preliminary evaluation of the inter-rater reliability of the six observation checklist concepts (3). Acceptable completion rates of the observation checklist by residential social workers were obtained and the training program resulted in reported improved professional expertise of residential social workers. Moreover, preliminary psychometric evaluation demonstrated acceptable to excellent inter-rater reliability, when expressed as percentage of agreement. Applications In conclusion, this novel observation checklist offers a promising opportunity to collect information that can be used for diagnostic purposes. Limitations and recommendations for future research are discussed.

Remote consultations in orthodontics: factors to consider for success

Remote consultations in orthodontics were quickly thrust to the forefront of the orthodontic profession during the COVID-19 pandemic of 2020. With the UK public now accepting telephone consultations and various video applications as a convenient and secure method of communication, it seems likely that, even after the ramifications of the COVID-19 pandemic have dissipated, increased use of remote consultations will continue to be seen as desirable. It is therefore important that orthodontists, and any other orthodontic staff who have been delegated the task of being involved in teleorthodontics ensure they are aware of the limitations as well as the benefits of teleorthodontics. They should also be able to demonstrate competence in how to effectively and appropriately carry out teleorthodontic appointments remotely with patients. CPD/Clinical Relevance: It is likely that patient expectations surrounding traditional face-to-face consultations will change as a result of the COVID-19 pandemic and the opportunity to investigate and explore new ways of working should be embraced. Working through the considerations that must be taken at each stage of the remote consultation as well as the use of appropriate checklists will ensure that the risk of human error is reduced, while undertaking remote consultations in orthodontics.

Usability analysis of advertising websites interfaces with the use of the universal design principles

The aim of the research was to observe how the usage of the universal design principles influences on the accessibility and usability of websites. As one of the analysis’ subjects there was chosen the popular advertising website. It has been confronted with a newly implemented application offering the same functions, but improved with the requirements resulting from the universal design. In order to compare those two services there was conducted the study with the use of eye-tracking, LUT checklists and WAVE Evaluation Tool. These methods made it possible to demonstrate the differences between websites caused by the contrasting implementation methods. The results showed that an application of universal design principles has a positive impact on the websites’ accessibility and usability.

Retained Foreign Body, Still a Reality and Consequence of Non-use of the WHO Surgical Safety Check Lists in Tropical Surgery

Adhesions are a major cause of acute abdomen in previously operated patients. The presence of a retained foreign body in the abdomen is a leading factor in the development of post-operative adhesion. It is, therefore important to take all necessary measures to avoid retained foreign bodies in the abdomen, as this increases the risk of developing post-operative adhesions and complications. A 32yr old female with a relevant past surgical history of an emergency laparotomy indicated for a ruptured ectopic pregnancy presented as an emergency 3 months after the above surgery at a tropical regional hospital with signs of generalized peritonism, following a brief history of sudden onset of lower abdominal pains. A diagnosis of bowel obstruction was made. Resuscitation was done, followed by an emergency exploratory laparotomy. It revealed the presence of a retained foreign body (gauze in our case), surrounded by multiple adhesion around the ileo-cecal junction with 2 meters of ischemic small bowel. Adhesion lysis was done, foreign body was extracted, the ischemic bowel was resected, and an end-to-end anastomosis was performed using Lambert’s technique. The patient had a smooth recovery. Implementing the effective use of the WHO surgical checklists before incision and before closing the abdomen will prevent foreign body retention, hence reducing post-operative complications. Keywords: Adhesions, Bowel obstruction, Retained foreign body.