One of the most challenging aspects of cognitive aids in crisis management is their implementation. For many well-documented reasons, there has been a reluctance (particularly in the older clinician population) to embrace the concept of cognitive aids.
Improving engagement with clinicians is the key to successful adoption of the crisis manuals. We feel we have taken care of the content and aesthetics. Our manual’s contents are written in accordance with evidence-based guidelines if they exist, and if not, are supported by references (see website reference page) or professional consensus.
The striking but carefully considered design and the use of primary colours contributes to their visual appeal, encouraging healthcare professionals to pick up and ‘flick through’. This in itself promotes awareness and familiarity.
Finally, the minimalist approach to layout, documentation and lists, even to the point of each word being scrutinized for accuracy and simplicity, provides an intuitive and easy to follow format.
To promote manual use, we suggest engaging a local advocate or ‘champion’ and to follow these suggestions where possible:
Place in every anaesthetising location in a highly visible and accessible position – this usually means fixing to the anaesthetic machine or trolley (cart).
Declaring the manual and its location as a key component of the Surgical Safety Checklist.