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Balancing measures included a quantitative assessment for any throughput measure delays and a survey question on perceived delays. From July 23, 2019 to July 22, 2020, 335 (84%) of 400 ED-to-ICU admissions had completed IHT checklists. Ninety percent of survey respondents (84% response rate) agreed that the checklist improved IHT safety. The incident report rate was lower in the intervention period (0.5% versus 2.3%; = 0.03), with special cause improvement on T-chart analysis. Balancing measures did not indicate any delays secondary to chec