• Brianna L Mckelvie, James Dayre Mcnally, Kusum Menon, Maelle G R Marchand, Deepti N Reddy, and W David Creery.
• PICU, Children's Hospital of Eastern Ontario (CHEO), Ottawa, Canada.
• Int J Qual Health Care. 2016 Jun 1; 28 (3): 371-5.

ObjectiveIn healthcare, checklists help to ensure patients receive evidence-based, safe care. Since 2007, we have used a bedside checklist in our PICU to facilitate daily discussion of care-related questions at each bedside. The primary objective of this study was to assess compliance with checklist use and to assess how often individual checklist elements affected patient management. A secondary objective was to determine whether patient and unit factors (severity of illness, unit census, weekday vs. weekend, admitting diagnosis group) influenced checklist use.DesignThis was a prospective observational study. A research assistant attended daily bedside rounds to collect data at each eligible patient encounter.SettingThe study was conducted in the Children's Hospital of Eastern Ontario (CHEO) PICU, a 12-bed cardiac and medical-surgical unit.ParticipantsIncluded all patients admitted to the PICU prior to 6 am and who were not being discharged that day.InterventionA bedside rounds checklist.Main Outcome MeasuresIncluded compliance and whether the checklist affected the patient's management plan.ResultsA total of 148 encounters were collected on 28 days between September 2013 and February 2014. Compliance with the checklist was 89.2% (132/148; 95% CI 83.2-93.2%) and was not influenced by admitting diagnosis group, patient census, severity of patient's conditions or weekday/weekend status. The checklist affected the patient management plan 52.6% of the time (69/132; 95% CI 44.2-61%).ConclusionsOur study found high rates of compliance with an established checklist that has been in use in the PICU since 2007. Checklist use frequently resulted in a change in the patient management plan.© The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care; all rights reserved.

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