Clinical Review: Checklists—Translating Evidence into Practice
Open accessAbstract
Checklists are common tools used in many industries. Unfortunately, their adoption in the field of medicine has been limited to equipment operations or part of specific algorithms. Yet they have tremendous potential to improve patient outcomes by democratizing knowledge and helping ensure that all patients receive evidence-based best practices and safe high-quality care. Checklist adoption has been slowed by a variety of factors, including provider resistance, delays in knowledge dissemination and integration, limited methodology to guide development and maintenance, and lack of effective technical strategies to make them available and easy to use. In this article, we explore some of the principles and possible strategies to further develop and encourage the implementation of checklists into medical practice. We describe different types of checklists using examples and explore the benefits they offer to improve care. We suggest methods to create checklists and offer suggestions for how we might apply them, using some examples from our own experience, and finally, offer some possible directions for future research.
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Clinical checklists turn evidence-based guidelines into clear, practical steps that reduce confusion and help ensure that every patient receives safe, consistent, and high-quality care.
“Clinical checklists turn evidence-based guidelines into clear, practical steps that reduce confusion and help ensure that every patient receives safe, consistent, and high-quality care [200,201].”
From Toward Safer Diagnoses: A SEIPS-Based Narrative Review of Diagnostic Errors (2026) · cites this paper as [200]
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- Authors
- Winters, B. D., Gurses, A. P., Lehmann, H., Sexton, J. B., Rampersad, C., & Pronovost, P. J.
- Affiliations
- Johns Hopkins University (US)
- Corresponding author
- Pronovost, Peter J
- Venue
- Critical Care
- Published
- 2009
- Volume
- 13
- Issue
- 6
- Pages
- 210
- ISSN
- 1364-8535 (ISSN-L)
- PMC
- PMC2811937
- OpenAlex
- W2149703842
- Cited by
- 348
- References
- 59
- Citations by year
- 2026: 23 · 2025: 17 · 2024: 11 · 2023: 23 · 2022: 13 · 2021: 22 · 2020: 18 · 2019: 13 · 2018: 19 · 2017: 23 · 2016: 23 · 2015: 36 · 2014: 21 · 2013: 35 · 2012: 23
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Critical Care (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
- Keywords
- checklists, clinical checklist, evidence-based practice, implementation barriers, knowledge dissemination, checklist development, patient safety, quality of care
- MeSH terms
- Algorithms, Cognition, Humans, Quality Assurance, Health Care, Evidence-Based Medicine, Checklist
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