[[Peak performance]] tags:: #on/work | #on/systems | #on/safety dates:: 2022-03-14 people:: #people/atulgawande # Checklists *What the best pilots use to not die.* This reminds me of how to ensure we are successful every time is to use a checklist. This reduces the cognitive load of the team so they can focus on the actions and doing those as well as possible. Checklists are developed, drafted, piloted, then validated. Checklists must work for the end user, not for the creator. A checklist is NOT a teaching tool or an algorithm Checklists themselves do not change outcomes, the teams must value the checklist, they must use it to identify barriers (not knowing equipment for example) and identify who and how the checklist will be used. ### what would the opposite argument be? Who needs checklists? Rookies. Experts don't need checklists. They take too much time, they distract from the real action, they ## Sources: A checklist about checklists ![[checklist_for_checklists.pdf]] Dryver, E., Lundager Forberg, J., Hård af Segerstad, C., Dupont, W. D., Bergenfelz, A., & Ekelund, U. (2021). Medical crisis checklists in the emergency department: A simulation-based multi-institutional randomised controlled trial. _BMJ Quality & Safety_, _30_(9), 697–705. [https://doi.org/10.1136/bmjqs-2020-012740](https://doi.org/10.1136/bmjqs-2020-012740) Dryver, E., Knutsson, J., Ekelund, U., & Bergenfelz, A. (2021). Impediments to and impact of checklists on performance of emergency interventions in primary care: An _in situ_ simulation-based randomized controlled trial. _Scandinavian Journal of Primary Health Care_, _39_(4), 438–447. [https://doi.org/10.1080/02813432.2021.1973250](https://doi.org/10.1080/02813432.2021.1973250) Stentz, M. J., Wiepking, M. D., Hodge, K. A., Ramonell, R. P., & Jabaley, C. S. (2021). Checklists Improve Team Performance During Simulated Extracorporeal Membrane Oxygenation Emergencies: A Randomized Trial. _Critical Care Explorations_, _3_(4), e0404. [https://doi.org/10.1097/CCE.0000000000000404](https://doi.org/10.1097/CCE.0000000000000404)