The way I prepared for these tests was to take lots of practice exams under the same time constraints as the real deal. Professors often post their old law exams online so I used those. The most important part of these practice sessions was the review afterward. I’d look at my answer and compare it to the professor’s answer key. It allowed me to see which issues I missed and any analysis I forgot to include. After two or three practice exams I began to see patterns in my failures. I’d make the same mistakes over and over again, and it was often due to overlooking stupid stuff.
In healthcare, this technique is used in resuscitation procedures. Healthcare workers are trained and recertified, in low and high fidelity simulators, to commence procedures such as Advanced Cardiac Life Support without referring to a checklist. When the patient is not readily revived or responding as expected, the team will refer to their checklists or algorithms to make sure the steps have been executed properly, and that they have not forgotten anything. For this reason, healthcare workers often keep a cognitive aid (a ‘checklist’ of sorts) posted on emergency carts, tucked into pockets or loaded onto mobile devices. ‘Boldface’ checklists can be effective whenever there is a critical sequence to be completed but time is short, or the situation does not enable a physical list to be immediately accessed and used.
Google Sheets beat Microsoft to the punch and introduced a Checkbox as one of the Data Validation options. You can go to Insert > Checkbox to quickly create one, and you can customize it by going to Data > Data Validation. I've updated most of the Google Sheets versions of my checklists to use that feature. I hope Excel gets smart and introduces a similar feature some day.
Checklists put everything you need to do right in front of you. You can see the beginning, middle and end of what needs to be done. Though this helps some people tackle tasks in front of them, it can also be distracting. If you are the type who prefers to take things one step at a time, you might enjoy working through a checklist. Big picture people might struggle with a large collection of isolated items, however, and might need other tools such as mind maps, ideas lists and deadline reminders to help them focus on what needs to be done.
So let's talk about and answer the question, why are checklists important? Checklists help you get all your daily, weekly, monthly and yearly tasks completed and done on time. Checklists allow you to focus and stay on track to keep deadlines on all your projects. If you have employees they set the perfect example and gives them a point of reference to start and to finish.
Clinicians have long relied on an analogous form of decision support such as lists or algorithms for differential diagnosis. When a patient presentation is unusual (non-normal but not emergent), differential diagnosis lists (whether in old-fashioned textbooks or new-fashioned handhelds) support clinical performance by serving as a cognitive aid. The practice of reviewing a complete differential helps overcome anchoring and confirmation biases and can be a forcing function to ensure that every critical, and treatable aetiology is ‘ruled out’. Unlike non-normal checklists that are built into cockpit workflow, differential lists are often not well-integrated into clinical workflow and this may undermine their use.12
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