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Checklists in your E.D.

This blog post is about a product but it's not a sales pitch.  If it is a pitch at all, it's a pitch for a partner -- does it help you to be even better at your job?  Does it fit well into the way your Emergency Department works?  Those are the product's objectives;  if it doesn't meet them, partner with us to make it happen!

Difficult to be a nurse?

Here is a humorous article on the www.nursetogether.com web site called 22 Reasons Why It's Difficult to Be a Nurse.

Several of the peeves listed here relate to the cognitive burden of nursing work, e.g. #2 -- "Get berated by a physician for forgetting one thing when you have remembered 100 other things?" 

Who was first?

I have touted Dr. Atul Gawande and his medical checklists in this blog. But he would be the first to point out that he wasn't the first to apply them to healthcare. That was Dr. Peter Pronovost at Johns Hopkins in 2001. The concept is summarized nicely in this 2009 New York Times article by Robin Henig, A Hospital How-To Guide that Mother Would Love.

Checklists vs. Critical Thinking

The question arises so often it's time to address it here: Nursing is more than a routine series of tasks; won't checklists supplant critical thinking?

This is the same question that Dr. Gawande often hears. And the answer is the same, too: a checklist does not replace critical thinking, it supports it.

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