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Checklist Design Reconsidered: Understanding Checklist Compliance and Timing of Interactions
Conference proceeding

Checklist Design Reconsidered: Understanding Checklist Compliance and Timing of Interactions

Leah Kulp, Aleksandra Sarcevic, Yinan Zheng, Megan Cheng, Emily Alberto, Randall Burd and ACM
Proceedings of the 2020 CHI Conference on Human Factors in Computing Systems, Vol.2020, pp.1-13
ACM Conferences
CHI '20: CHI Conference on Human Factors in Computing Systems
04/01/2020
DOI: 10.1145/3313831.3376853
PMID: 32685940

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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.
 Human-centered computing -- Human computer interaction (HCI) -- Empirical studies in HCI

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