Cite this post as:
Mike Lauria. COMM CHECK: On Checklists. EMCrit Blog. Published on January 3, 2019. Accessed on September 29th 2022. Available at [https://emcrit.org/emcrit/comm-check-on-checklists/ ].
Financial Disclosures:
Dr. Scott Weingart, Course Director, reports no relevant financial relationships with ineligible companies.
This episode’s speaker(s), (listed above), report no relevant financial relationships with ineligible companies.
CME Review
Original Release: January 3, 2019
Date of Most Recent Review: Jan 1, 2022
Termination Date: Jan 1, 2025
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Great article, Mike. As a pilot, though, I don’t like those Cessna 172 forced landing checklists. All the stuff about flaps and airspeed is just ‘flying the airplane’. Those are not checklist items. Those are instruction manual items. No pilot needs to be told in a checklist what speed to fly or what flap setting to use and that just holds things up and clutters the mind, just like no resuscitationist needs to be told ‘Laryngoscope UNFOLD’. The forced landing without power checklist should read: CHECK carb heat, mixture, mags, fuel If unable restart: Fuel OFF Mags OFF Master OFF… Read more »
Mike,
Curious on your thoughts on barriers to checklist use and time/effort needed to call rollout complete. I’m interested in studying the effect of minor variations in availability of use (on phone versus in paper, expectation of use by intubator versus RT), as I think there is significant amount of work not just on creation of checklists but also in using them.
Clint
Thanks, Mike! Checklists (in general) strive to increase safety through consistency, but have a short-term efficiency cost. Great in the cockpit, where consistency is key. There are powerful checks and balances against the efficiency impetus, especially as far as Part 121 and military operations go. Medicine culture prizes a different balance of consistency-vs-efficiency. And sometimes even for good reasons. But that, plus the difficulty applying consistency to the world of diverse patients, discourages checklist use. As Mike points out, it takes a lot of effort to make a checklist a good one, and to know where they are (and aren’t)… Read more »