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Not a doctor, but familiar with some of the arguments. Visible use of checklists damages patient trust. You may (correctly) argue that patients who see their d
by 794CD01 10y ago
Not a doctor, but familiar with some of the arguments.
Visible use of checklists damages patient trust. You may (correctly) argue that patients who see their doctors following checklists should trust them MORE rather than less, but most data shows otherwise. Patient trust is very important not just for improving outcomes (they need to follow your instructions after discharge) but also in selecting a physician. That's why checklist use is higher in the OR, when the patient is unconscious.
Checklist use is slower. Virtually all physicians are already overscheduled. Lengthening every visit by 30-50% so that the doctor can go over a checklist that only ends up mattering a tiny percentage of the time means fewer patients get seen.
- petra 10y agoThe problem of patients not trusting doctors who use checklists seems solvable , maybe via education maybe via other means. It's just a matter of will.
- 794CD01 10y agoI hope so too. However, it is currently a problem.
- danielrhodes 10y agoThat explanation is so backwards in reasoning it would be humerous if it weren't so pathetic. Sadly you see people citing data over common sense all the time. In this case, the choice between human life and hospital efficiency and "trust" produces a false trade-off: The dire consequences of one choice all but force you to take the other option.
- 794CD01 10y agoTrusting "common sense" over data is irresponsible if not outright delusional.
- danielrhodes 10y agoIs that always true?