Title
Checklist Design Reconsidered: Understanding Checklist Compliance and Timing of Interactions
Abstract
We examine the association between user interactions with a checklist and task performance in a time-critical medical setting. By comparing 98 logs from a digital checklist for trauma resuscitation with activity logs generated by video review, we identified three non-compliant checklist use behaviors: failure to check items for completed tasks, falsely checking items when tasks were not performed, and inaccurately checking items for incomplete tasks. Using video review, we found that user perceptions of task completion were often misaligned with clinical practices that guided activity coding, thereby contributing to non-compliant check-offs. Our analysis of associations between different contexts and the timing of check-offs showed longer delays when (1) checklist users were absent during patient arrival, (2) patients had penetrating injuries, and (3) resuscitations were assigned to the highest acuity. We discuss opportunities for reconsidering checklist designs to reduce non-compliant checklist use.
Year
DOI
Venue
2020
10.1145/3313831.3376853
CHI '20: CHI Conference on Human Factors in Computing Systems Honolulu HI USA April, 2020
Keywords
DocType
Volume
Checklist design,dynamic checklist,medical checklist,mixed methods,trauma resuscitation,video review
Conference
2020
ISBN
Citations 
PageRank 
978-1-4503-6708-0
1
0.41
References 
Authors
0
6
Name
Order
Citations
PageRank
Leah Kulp154.21
Aleksandra Sarcevic218226.75
Yi-nan Zheng393.53
Megan Cheng411.42
Emily Alberto511.09
Randall S. Burd612221.53