Prompting with electronic checklist improves clinician performance in medical emergencies: a high-fidelity simulation study

Sevilla-Berrios R., O'Horo J. C. , Schmickl C. N. , Erdogan A., Chen X., Arguello L. Y. G. , ...More

INTERNATIONAL JOURNAL OF EMERGENCY MEDICINE, vol.11, 2018 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 11
  • Publication Date: 2018
  • Doi Number: 10.1186/s12245-018-0185-8
  • Journal Indexes: Emerging Sources Citation Index, Scopus


Background: Inefficient processes of care delivery during acute resuscitation can compromise the "Golden Hour," the time when quick interventions can rapidly determine the course of the patient's outcome. Checklists have been shown to be an effective tool for standardizing care models. We developed a novel electronic tool, the Checklist for Early Recognition and Treatment of Acute Illness (CERTAIN) to facilitate standardized evaluation and treatment approach for acutely decompensating patients. The checklist was enforced by the use of a " prompter," a team member separate from the leader who records and reviews pertinent CERTAIN algorithms and verbalizes these to the team. Our hypothesis was that the CERTAIN model, with the use of the tool and a prompter, can improve clinician performance and satisfaction in the evaluation of acute decompensating patients in a simulated environment.