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.
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
|Due By (Pacific Time)||10/08/2014 11am|
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