Yes…You need checklists

Using checklists for key operations began in aviation in the late 1930s. Today, many entities use checklists for operational procedures. The objectives of checklists are to standardize and verify key steps or functions, provide sequential frameworks, allow cross checking by key team members, and enhance the concept of keeping all team members “in the loop.”

Surgeon and author Atul Gwande, in his outstanding book The Checklist Manifesto, noted that ineptitude is often the reason why complex procedures sometimes fail. He means that practitioners usually have knowledge and ability, but sometimes fail to apply their skills correctly. Further, seemingly simple procedures are taken for granted and faulty memory and distraction pervades an important or critical process where missing one key step can doom a successful outcome. Properly executed checklists are a solution.

Dr. Gwande also noted several other findings as follows:

Experienced individuals and teams are not infallible.

So-called simple procedures have hidden complexities.

Surgical teams often neglected to use checklists.

NASA conducted extended research on how to make checklists user friendly. We suggest you incorporate the following NASA’s findings when developing checklists:

1. Use a sans-serif typeface (font) such as Helvetica or Gill Sans.

2. Use black text on a white background.

3. Avoid colors because approximately eight percent of the male population is color blind. 

4. Use upper and lowercase text; ALL-CAPS is harder to read and decipher.

Key Takeaway:

Beware of detractors that have an “I’m too professional to need a checklist” mentality. Use checklists to verify functions for key operational procedures. Remember that checklists are a tool that helps ensure standardization and teamwork. Don’t take simple procedures for granted.

What are your thoughts?

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About Hank Christen

Dr. Hank Christen was an Atlanta Fire Department Battalion Chief, Emergency Manager, and Director of Emergency Services for Okaloosa County, Florida. He has responded to multiple disasters in his career and was the Incident Commander for Hurricane Erin, Opal, Earl, and Georges, and responded to Hurricane Andrew (Miami), and Hurricane Marilyn (U.S. Virgin Islands). He co-authored eight books on crisis management and the incident command system in the disaster response field. Dr. Christen has served on a team that evaluated a biological non-traditional syndromic surveillance program during the 2000 George Bush Presidential Inauguration. Dr. Christen has also responded with a Disaster Medical Assistance Team (FL-1 DMAT) to the 2001 World Trade Center Attack, and served as team commander during the team’s deployment to the Atlanta Olympic Bombing. Additionally. Dr. Christen has served on a panel that evaluated the medical response to the Boston Marathon Bombing in 2014. Dr. Hank Christen EdD currently is responsible for developing curriculum, technical writing, and instructing courses with Active Shooter 360, LLC. The materials developed and taught by Dr. Christen include Active Shooter Awareness, Threat Intervention Practices, Incident Command System (ICS), Crisis Decision Making, and Emergency Operations Planning.

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