Objective To observe the training effect of checklist in the process of standardized resident training of the critical care medicine. Methods From April 2016 to January 2017 the residents entered intensive care unit for standardized resident training were randomly divided into experimental group and control group. A checklist was used in the experimental group during daily rounds and shifting of duty while the control group trained completely through traditional way. The residents' clinical competence were assessed by mixed method include daily assessment, question bank examination(QBE), mini-clinical evaluation exercise(Mini-CEX). Results Finally 114 residents finished this program. The experimental group achieved higher examination score in daily assessments and final Mini-CEX, including medical interview, physical examination, clinical decision, communication skills, organization efficiency (all P<0.05). Experimental group showed higher satisfaction no matter for trainee or trainer (all P<0.05). Conclusions Checklist utilization for standardized training residents during critical care rotation would be helpful in improving the clinical training performance and satisfaction.
Xing Jinyan
,
Yuan Zhiyong
,
Han Xiaoning
,
Zhou Weigui
,
Shi Gengyu
,
Sun Yunbo
. Application of checklist to improve the effect of critical care medicine training for residents[J]. Chinese Journal of Medical Education, 2018
, 38(5)
: 774
-777
.
DOI: 10.3760/cma.j.issn.1673-677X.2018.05.031
[1] Carlos WG, Patel DG, Vannostrand KM, et al. Intensive care unit rounding checklist implementation. Effect of accountability measures on physician compliance[J]. Ann Am Thorac Soc, 2015,12(4):533-538. DOI: 10.1513/AnnalsATS.201410-494OC.
[2] Walker IA, Reshamwalla S, Wilson IH. Surgical safety checklists: Do they improve outcomes[J] ? Br J Anaesth, 2012,109(1):47-54. DOI: 10.1093/bja/aes175.
[3] Institute of Medicine (US) Committee on Quality of Health Care in America.To err is human: Building a safer health system[J]. Annales Franaises Danesthèsie Et De Rèanimation, 2000 , 21 (6) :453-454.
[4] Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: Preliminary retrospective record review[J]. BMJ, 2001,322(7285):517-519.
[5] Zhu J, Li W, Chen L. Doctors in China: Improving quality through modernisation of residency education[J]. Lancet, 2016,388(10054):1922-1929. DOI: 10.1016/S0140-6736(16)00582-1.
[6] Reiff DA, Shoultz T, Griffin RL, et al. Use of a bundle checklist combined with physician confirmation reduces risk of nosocomial complications and death in trauma patients compared to documented checklist use alone[J]. Ann Surg, 2015,262(4):647-652. DOI: 10.1097/SLA.0000000000001456.
[7] Nama A, Sviri S, Abutbul A, et al. Successful introduction of a daily checklist to enhance compliance with accepted standards of care in the medical intensive care unit[J]. Anaesth Intensive Care, 2016,44(4):498-500.
[8] Fischer MO, Mahjoub Y, Ayissi DA, et al. Checklist use in ICUs: A French national survey[J]. Intensive Care Med, 2015,41(6):1149-1150. DOI: 10.1007/s00134-015-3793-2.
[9] Jammer I, Ahmad T, Aldecoa C, et al. Point prevalence of surgical checklist use in Europe: Relationship with hospital mortality[J]. Br J Anaesth, 2015,114(5):801-807. DOI: 10.1093/bja/aeu460.
[10] Just KS, Hubrich S, Schmidtke D, et al. The effectiveness of an intensive care quick reference checklist manual: A randomized simulation-based trial[J]. J Crit Care, 2015,30(2):255-260. DOI: 10.1016/j.jcrc.2014.10.007.
[11] Centofanti JE, Duan EH, Hoad NC, et al. Use of a daily goals checklist for morning ICU rounds: A mixed-methods study[J]. Crit Care Med, 2014,42(8):1797-1803. DOI: 10.1097/CCM.0000000000000331.
[12] Khoiriyah U, Roberts C, Jorm C, et al. Enhancing students' learning in problem based learning: Validation of a self-assessment scale for active learning and critical thinking[J]. BMC Med Educ, 2015,15:140. DOI: 10.1186/s12909-015-0422-2.
[13] Joshi MK, Singh T, Badyal DK. Acceptability and feasibility of mini-clinical evaluation exercise as a formative assessment tool for workplace-based assessment for surgical postgraduate students[J]. J Postgrad Med, 2017,63(2):100-105. DOI: 10.4103/0022-3859.201411.