Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Apr 19, 2026; 16(4): 115211
Published online Apr 19, 2026. doi: 10.5498/wjp.v16.i4.115211
Published online Apr 19, 2026. doi: 10.5498/wjp.v16.i4.115211
Impact of checklist-based process reengineering on emergency stay duration, rescue success rate, and satisfaction in consciousness-disordered patients
Zhang-Shun Shen, Yang-Juan Jia, Qian Zhao, Jian-Guo Li, Department of Emergency Medical, Hebei General Hospital, Shijiazhuang 050000, Hebei Province, China
Tie-Ling Xu, Ya-Yu Zhang, Department of General Medical, Hebei General Hospital, Shijiazhuang 050000, Hebei Province, China
Author contributions: Shen ZS and Xu TL designed the study and performed the experiments; Shen ZS, Zhao Q, and Li JG prepared the manuscript; Zhang YY and Jia YJ collected the data; Zhang YY and Zhao Q analyzed the data. All authors read and approved the final manuscript.
Supported by 2020 Hebei Province Medical Science Research, No. 20200743.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Hebei General Hospital, No. 2020(08).
Informed consent statement: Signed written informed consents were obtained from the patients and guardians.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.
Corresponding author: Jian-Guo Li, MD, Department of Emergency Medical, Hebei General Hospital, No. 348 Heping West Road, Shijiazhuang 050000, Hebei Province, China.
Received: October 24, 2025
Revised: November 25, 2025
Accepted: January 5, 2026
Published online: April 19, 2026
Processing time: 157 Days and 1.9 Hours
Revised: November 25, 2025
Accepted: January 5, 2026
Published online: April 19, 2026
Processing time: 157 Days and 1.9 Hours
Core Tip
Core Tip: This study evaluated a checklist-based process reengineering (CBPR) model for emergency care of patients with disorders of consciousness. In a purposive sample of 400 patients, CBPR shortened emergency stay and hospitalization, accelerated recovery, and increased rescue success compared with conventional workflow. Multidisciplinary coordination, a mobile emergency platform, and a causation checklist improved timeliness and decision-making, leading to better Glasgow Outcome Scale prognoses and higher satisfaction among medical staff and families. CBPR offers an efficient, standardized pathway to enhance outcomes for emergency disorders of consciousness care.