@article{TEXTUAL,
      recid = {14681},
      author = {Clebone, Anna and Klock Jr, P. Allan and Choi, Ellen Y.  and Tung, Avery},
      title = {Why are critical event checklists not always used in the  perioperative setting?: A retrospective survey},
      journal = {PLOS ONE},
      address = {2025-02-28},
      number = {TEXTUAL},
      abstract = {&lt;p&gt;Introduction: During surgery and anesthesia,  life-threatening critical events, including cardiac arrest,  may occur. By facilitating recall of key management steps,  suggesting diagnostic possibilities, and providing dose and  drug information, cognitive aids may improve clinician  performance during such events. In actual clinical  practice, however, cognitive aids may be available but  inconsistently used. One possibility explaining aid non-use  during critical events is a lack of familiarity with how  cognitive aids may be helpful. We hypothesized that  introduction of critical event cognitive aids along with  implementation of cognitive aid resources would change the  quantitative incidence of cognitive aid use and qualitative  reasons for aid non-use. We surveyed members of an academic  anesthesia department before and after implementation of  critical event cognitive aid resources.&lt;/p&gt; &lt;p&gt;Methods: All  anesthesia clinicians at a single academic medical center  were surveyed.&lt;/p&gt; &lt;p&gt;Participants were surveyed both pre-  and post-training with a focused program to introduce  critical event cognitive aid resources. Incidences of and  reasons for cognitive aid use and non-use were collected  and analyzed. Survey responses were compared pre- and  post-implementation.&lt;/p&gt; &lt;p&gt;Results: The response rate was  64.5%. One-hundred eighty-five reasons for non-use were  collected before the focused program and 149 after.  Overall, 80% of clinicians had encountered at least one  critical event during the study period and use of cognitive  aids during all reported events was 7%. Six categories of  reasons for non-use were identified: ‘Not Available’, ‘Not  Needed’, ‘No Time’, ‘Another Person In Charge’, ‘Used In  Another Way’, ‘No Reason Given’. After implementation, a  decrease in the number of respondents who cited  availability and who cited ‘another person running crisis,’  as reasons for non-use was observed (p &lt; 0.001).&lt;/p&gt;  &lt;p&gt;Conclusions: Implementation of cognitive aids for  critical events in an academic anesthesia environment  improved the perception of cognitive aid availability and  decreased the number of subjects who chose to not use the  aid due to another person running the crisis response.  Looking at the multiple reasons for cognitive aid non-use  may guide implementation, training, and design.&lt;/p&gt;},
      url = {http://knowledge.uchicago.edu/record/14681},
}