Medical staff and employees tend to resist using checklists. Here are four common perceptual barriers:
1. Belief that medical disease is too complex and is not comparable to flying an airplane or constructing a building.
2. Belief that by relying too heavily on checklists, healthcare personnel will not use their own judgment and experience to bypass the checklist when necessary.
3. Belief that using a checklist breaks workflow as healthcare personnel have to stop and gather together to go over the checklist.
4. Belief that overuse of multiple checklists can lead to checklist fatigue.
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