Project #42559 - Human Resource

THE UNDERRATED CHECKLIST: FIVE STEPS TO SAVE LIVES

The idea of having to go through a checklist in your job may sound

a little demeaning. That type of thinking is why Dr. Peter Pronovost of Johns Hopkins

University School of Medicine ran into opposition when he proposed a five-step checklist that would not only save money, but savelives.

In the United States, hospital-acquired infections affect 1 in 10

patients, killing 90,000 of them and costing as much as $11 billion

each year.Many of those infections are acquired when an IV line

delivering medication becomes infected. Dr. Pronovost’s checklist is

simple and straightforward, including steps such as: Doctors must

wash their hands before inserting an IV, and the patient’s skin must

be cleaned with antiseptic at the point of the insertion. When Michigan hospitals put the checklist into practice, they not only saved

over $175 million in eighteen months because they didn’t have to

treat infections, but they saved nearly 1,500 lives!

Such impressive evidence would seem to convert even the

toughest critic of checklists, but the hospitals found the same truth

that many trainers face: employees don’t always comply with rules

that are for their own good or for the good of others. They need to

be convinced. It turns out that doctors are just as stubborn as pro-

duction employees who refuse to wear safety goggles or a hard hat.

Dr. Pronovost found that doctors don’t like being told what to

do. They especially resented being reminded of the checklist by the

nurses who were put in charge of managing the checklists. The orga-

nizational culture of the hospitals, including the roles of doctors

and nurses, got in the way of patient safety. Dr. Pronovost learned to

overcome the resistance by bringing both doctors and nurses

together in training and appealing to their common concern for

patient health. He asked, “Would you ever intentionally allow a 

patient’s health to be harmed in your presence?” They’d say “Of 

course not.” Then he would hit them with “Then how can you see

someone not washing their hands and let them get away with it?”

Saving lives, saving money. It’s all in the training.

 

 

Questions:

1.How can HR professionals overcome resistance to training?

2.What method should hospitals use to evaluate IV checklist training?

3.Develop a checklist that would make a process more efficient

or safe for your employer or college.

4.What is the best way to train an employee to use your check-

list? How would you evaluate your training

Subject Business
Due By (Pacific Time) 10/08/2014 11am
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