What's the most useful tool you rely upon to prevent yourself from making an error, ensuring that you've entertained all the important possibilities? Do you have a favorite saying or memory aid that you teach trainees? This could be for a specific condition (like the Hs and Ts of PEA) or a general approach to ensure you aren't missing something.
Marjorie, a checklist approach has prevented countless air disasters, made it one of the safest industry in the world. I would totally vouch for a reasonable checklist approach for all major emergent admission condition and during rounding and during hand over. Stay tuned for some articles on this topic from our group ! Cheers !
Absolutely! with the provision that they are employed by skilled and competent practitioners!
Medical diagnosis is something more complicated than just to takeoff. Checklist are appropriate for repetitive situation requesting a stereotyped verification. Safe surgery checklist is a good example of it. You can find specialysed checklists addressing specific diagnostic situations: if you collect all of them, you'll have a big textbook in your pocket. A different approach is to focus on the situation leading to error and on the cognitive bias that can favorize errors. Mark Graber proposed a very simple checklist that can alarm you if you are in a situation at risk: Graber ML, Sorensen AV, Biswas J, et al. Developing checklists to prevent diagnostic error in Emergency Room settings. Diagnosis 2014;1:223-31.
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