"The article's take on the ... consent requirement for the IHI sponsored program is bizarre. The techniques recommended are common practice (or should be, but are sometimes skipped). The issue seems to be the checklist. While the checklist is an obtrusive, time consuming way to have a nurse document common practice, it certainly shouldn't require consent from the patient.
"It is interesting this article just came out addressing the checklist. Last week, I provided comments for the Society of Healthcare Epidemiology of America to respond to the IHI about the program. My comments were that, although the practices (gown, gloves, mask and proper care of the insertion site) were laudable, the requirement of a checklist was not productive. My concern was not that of consent. However, there is no evidence that a checklist will improve practice; it will only increase the amount of documentation a nurse has to do and, perhaps, limit the nurse's ability to actually care for a patient. I recommended that IHI seek to encourage measurement for routinely captured care delivery processes that are proven or to focus more on outcomes rather than increasing the burden of process documentation.
"In short, the checklist is a cumbersome and not likely to be helpful. Can you imagine a nurse actually documenting anything but successful technique on a checklist?"
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Date: 2008-02-18 02:45 pm (UTC)"The article's take on the ... consent requirement for the IHI sponsored program is bizarre. The techniques recommended are common practice (or should be, but are sometimes skipped). The issue seems to be the checklist. While the checklist is an obtrusive, time consuming way to have a nurse document common practice, it certainly shouldn't require consent from the patient.
"It is interesting this article just came out addressing the checklist. Last week, I provided comments for the Society of Healthcare Epidemiology of America to respond to the IHI about the program. My comments were that, although the practices (gown, gloves, mask and proper care of the insertion site) were laudable, the requirement of a checklist was not productive. My concern was not that of consent. However, there is no evidence that a checklist will improve practice; it will only increase the amount of documentation a nurse has to do and, perhaps, limit the nurse's ability to actually care for a patient. I recommended that IHI seek to encourage measurement for routinely captured care delivery processes that are proven or to focus more on outcomes rather than increasing the burden of process documentation.
"In short, the checklist is a cumbersome and not likely to be helpful. Can you imagine a nurse actually documenting anything but successful technique on a checklist?"