The Power of the Checklist

We know that most successful medical departments exploit the power of the checklists to achieve their results. Some interesting thoughts about this in a blog here:  Checklists aren’t just for pilots. Do watch the video clips and read Atul Gawande’s New Yorker article referred to in the blog. Gawande says:

If a new drug were as effective at saving lives as Peter Pronovost’s checklist, there would be a nationwide marketing campaign urging doctors to use it.

The question we need to ask is how to best integrate checklists in the clinical information systems. The answer to me is obvious: by having a process-oriented approach. I think the current Clinical Systems are based on the table paradigm which do not lend themselves to ordering the sequence of activities that need to be performed. Therefore it stands to reason that the approach that we are pursuing (Proteus), which has a process orientation at its core, is not just for clinical decision support but also for guiding all activities in the clinical world.


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