Development and pilot of a checklist for management of acute liver failure in the intensive care unit

Acute Liver Failure Study Group

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction Acute liver failure (ALF) is an ideal condition for use of a checklist. Our aims were to develop a checklist for the management of ALF in the intensive care unit (ICU) and assess the usability of the checklist among multiple providers. Methods The initial checklist was developed from published guidelines and expert opinion. The checklist underwent pilot testing at 11 academic liver transplant centers in the US and Canada. An anonymous, written survey was used to assess the usability and quality of the checklist. Written comments were used to improve the checklist following the pilot testing period. Results We received 81 surveys involving the management of 116 patients during the pilot testing period. The overall quality of the checklist was judged to be above average to excellent by 94% of users. On a 5-point Likert scale, the majority of survey respondents agreed or agreed strongly with the following checklist characteristics: the checklist was easy to read (99% agreed/agreed strongly), easy to use (97%), items are categorized logically (98%), time to complete the checklist did not interfere with delivery of appropriate and safe patient care (94%) and was not excessively burdensome (92%), the checklist allowed the user the freedom to use his or her clinical judgment (80%), it is a useful tool in the management of acute liver failure (98%). Web-based and mobile apps were developed for use of the checklist at the point of care. Conclusion The checklist for the management of ALF in the ICU was shown in this pilot study to be easy to use, helpful and accepted by a wide variety of practitioners at multiple sites in the US and Canada.

Original languageEnglish (US)
Article numbere0155500
JournalPloS one
Volume11
Issue number5
DOIs
StatePublished - May 2016

Fingerprint

liver failure
Intensive care units
Acute Liver Failure
Checklist
Liver
Intensive Care Units
Canada
Testing
liver transplant
patient care
expert opinion
testing
Transplants
Application programs
Point-of-Care Systems
Mobile Applications
Expert Testimony

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)
  • General

Cite this

@article{d18da99b2c994b4faebf8cd4cd182743,
title = "Development and pilot of a checklist for management of acute liver failure in the intensive care unit",
abstract = "Introduction Acute liver failure (ALF) is an ideal condition for use of a checklist. Our aims were to develop a checklist for the management of ALF in the intensive care unit (ICU) and assess the usability of the checklist among multiple providers. Methods The initial checklist was developed from published guidelines and expert opinion. The checklist underwent pilot testing at 11 academic liver transplant centers in the US and Canada. An anonymous, written survey was used to assess the usability and quality of the checklist. Written comments were used to improve the checklist following the pilot testing period. Results We received 81 surveys involving the management of 116 patients during the pilot testing period. The overall quality of the checklist was judged to be above average to excellent by 94{\%} of users. On a 5-point Likert scale, the majority of survey respondents agreed or agreed strongly with the following checklist characteristics: the checklist was easy to read (99{\%} agreed/agreed strongly), easy to use (97{\%}), items are categorized logically (98{\%}), time to complete the checklist did not interfere with delivery of appropriate and safe patient care (94{\%}) and was not excessively burdensome (92{\%}), the checklist allowed the user the freedom to use his or her clinical judgment (80{\%}), it is a useful tool in the management of acute liver failure (98{\%}). Web-based and mobile apps were developed for use of the checklist at the point of care. Conclusion The checklist for the management of ALF in the ICU was shown in this pilot study to be easy to use, helpful and accepted by a wide variety of practitioners at multiple sites in the US and Canada.",
author = "{Acute Liver Failure Study Group} and Fix, {Oren K.} and Iris Liou and Karvellas, {Constantine J.} and Ganger, {Daniel R.} and Forde, {Kimberly A.} and Subramanian, {Ram M.} and Alice Boylan and James Hanje and Stravitz, {R. Todd} and Lee, {William M.}",
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Development and pilot of a checklist for management of acute liver failure in the intensive care unit. / Acute Liver Failure Study Group.

In: PloS one, Vol. 11, No. 5, e0155500, 05.2016.

Research output: Contribution to journalArticle

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T1 - Development and pilot of a checklist for management of acute liver failure in the intensive care unit

AU - Acute Liver Failure Study Group

AU - Fix, Oren K.

AU - Liou, Iris

AU - Karvellas, Constantine J.

AU - Ganger, Daniel R.

AU - Forde, Kimberly A.

AU - Subramanian, Ram M.

AU - Boylan, Alice

AU - Hanje, James

AU - Stravitz, R. Todd

AU - Lee, William M.

PY - 2016/5

Y1 - 2016/5

N2 - Introduction Acute liver failure (ALF) is an ideal condition for use of a checklist. Our aims were to develop a checklist for the management of ALF in the intensive care unit (ICU) and assess the usability of the checklist among multiple providers. Methods The initial checklist was developed from published guidelines and expert opinion. The checklist underwent pilot testing at 11 academic liver transplant centers in the US and Canada. An anonymous, written survey was used to assess the usability and quality of the checklist. Written comments were used to improve the checklist following the pilot testing period. Results We received 81 surveys involving the management of 116 patients during the pilot testing period. The overall quality of the checklist was judged to be above average to excellent by 94% of users. On a 5-point Likert scale, the majority of survey respondents agreed or agreed strongly with the following checklist characteristics: the checklist was easy to read (99% agreed/agreed strongly), easy to use (97%), items are categorized logically (98%), time to complete the checklist did not interfere with delivery of appropriate and safe patient care (94%) and was not excessively burdensome (92%), the checklist allowed the user the freedom to use his or her clinical judgment (80%), it is a useful tool in the management of acute liver failure (98%). Web-based and mobile apps were developed for use of the checklist at the point of care. Conclusion The checklist for the management of ALF in the ICU was shown in this pilot study to be easy to use, helpful and accepted by a wide variety of practitioners at multiple sites in the US and Canada.

AB - Introduction Acute liver failure (ALF) is an ideal condition for use of a checklist. Our aims were to develop a checklist for the management of ALF in the intensive care unit (ICU) and assess the usability of the checklist among multiple providers. Methods The initial checklist was developed from published guidelines and expert opinion. The checklist underwent pilot testing at 11 academic liver transplant centers in the US and Canada. An anonymous, written survey was used to assess the usability and quality of the checklist. Written comments were used to improve the checklist following the pilot testing period. Results We received 81 surveys involving the management of 116 patients during the pilot testing period. The overall quality of the checklist was judged to be above average to excellent by 94% of users. On a 5-point Likert scale, the majority of survey respondents agreed or agreed strongly with the following checklist characteristics: the checklist was easy to read (99% agreed/agreed strongly), easy to use (97%), items are categorized logically (98%), time to complete the checklist did not interfere with delivery of appropriate and safe patient care (94%) and was not excessively burdensome (92%), the checklist allowed the user the freedom to use his or her clinical judgment (80%), it is a useful tool in the management of acute liver failure (98%). Web-based and mobile apps were developed for use of the checklist at the point of care. Conclusion The checklist for the management of ALF in the ICU was shown in this pilot study to be easy to use, helpful and accepted by a wide variety of practitioners at multiple sites in the US and Canada.

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