Discussion Guide for the Alves Article

High-reliability organizations from industries outside of health care (eg, aviation, aerospace, and nuclear power) use checklists to perform complex and hazardous operations with exceptional consistency. Similarly, health care organizations have implemented clinician-oriented checklists that are associated with positive safety and patient-related outcomes. For example, implementation of daily rounding checklists within the pediatric intensive care unit (PICU) is associated with shorter ICU stays and less exposure to ICU-related therapies (eg, mechanical ventilation and urinary catheterization).¹  Checklists adapted from other contexts (eg, culture, organizations, clinical settings) may be less effective than checklists that are created without consideration of those contexts.²  In the authors’ native country, Brazil, there were no existing rounding checklists. Guided by evidence-based recommendations, the authors used a 5-step process to develop and validate an interprofessional rounding checklist (R-PICniC) for their clinical setting: a rural, 20-bed PICU in the state of São Paulo, Brazil, providing care for patients...