Imsafe checklist for aviation12/8/2023 ![]() ‘Normal’ checklists are effective whenever there are advantages to standardising performance, time is not critical, the series of tasks is too long to be committed to memory (or there are likely to be interruptions to execution of the task that might interfere with memory retrieval), and the environment enables a physical list to be accessed and used.īoldface items are for immediate action, when the aircraft may be lost if the items are not completed quickly and in the correct order. Operating room and anaesthesia workflows accommodate these prechecks. Thus, prechecks are incorporated into manufacturing and inservicing of equipment and iteratively updated by the professionals using them. 9 These recommendations are intended to be peer-reviewed, modified and updated for each specific type of manufactured anaesthesia equipment. Since 1993, Anaesthesia Apparatus Checkout Recommendations have targeted the proper configuration of anaesthesia gas delivery systems. In healthcare, this type of operational check of equipment has evolved along with advanced medical technology. There are differing approaches to executing the checklist, 8 with varying degrees of redundancy, but all methods include action and verification steps. Normal checklists are completed whenever the aircraft configuration needs to be altered as part of an everyday flight. As checklists are increasingly imposed through a variety of professional and regulatory mandates in North America, 5 Europe 6 and elsewhere, 7 perhaps it is time to review the fundamental principles of checklist use, including why they might work and how we can implement them better. When ideas are translated from one industry to another, the assumptions underlying the original concepts may be lost or diluted. Scholars debating the efficacy of checklist implementation in healthcare have identified important reasons for varying results: that success requires complex, cultural and organisational change efforts, not just the checklist itself 2 that results may be confounded by a mix of the technical and socioadaptive elements, 3 and that local contexts may either augment or undermine the implementation's outcomes. ![]() Large-scale implementations with conflicting outcomes suggest that these tools are not as simple or effective as hoped. ![]() Healthcare safety activists have looked to checklists to solve a myriad of problems, particularly with the current iteration of checklists that have been imported from aviation. The checklist approach has the same potential to save lives and prevent morbidity in medicine that it did in aviation over 70 years ago by ensuring that simple standards are applied for every patient, every time. ![]()
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