The law does provide medical facilities with some leeway in creating the safety lists. It requires only that patient safety checklists "be appropriate for the type of treatment provided at the medical facility," and "be designed to ensure that the providers of health care follow a recognized protocol to improve the health outcomes of patients."
Despite making more work for hospital and medical facilities, AB 280 had the support of the Nevada Hospital Association. In an e-mail to HealthLeaders, an NHA representative said that the support reflected NHA's commitment to the "highest standards of care to our patients."
A representative for the SEIU, which represents healthcare and public service employees in the state, was unfamiliar with the bill.
Checklists have gained stature in the medical community not only through the work of Gawande, but also through the efforts of Peter Pronovost, MD, who developed a five-step checklist that nearly eliminated intensive care unit bloodstream infections at Johns Hopkins. Provonost has since warned of checklist overload.