The Checklist Manifesto: How to Get Things Right
The New York Times bestselling author of Being Mortal and Complications reveals the surprising power of the ordinary checklist.
We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies--neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third.
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Community Reviews
When Gawande really has his feet under him, he provides nuanced examples of how checklists work in three unique archetypal situations: flying a plane, performing surgery, and managing a multi-disciplinary construction project.
He makes a compelling case that: a) checklists improve performance without requiring an improvement in skill; b) most experts recognize the benefit of checklists after using them but not before; c) checklist design is quite complex - and a poorly designed checklist is as useless as no checklist.
He brings these concepts to life with three examples, which I think of as archetypes. Construction, where the checklist ensures 17 different subject matter experts communicate effectively on a complex project, aviation, where checklists ensure staccato, to the point responses to hundreds of potential in flight complications, and surgery, where a routine of simple preparation and communication can prevent life threatening injury.
You are then left contemplating, which type of problem am I working on and which approach would work best? If you are like me, you will find your career is a mix of the three and will have a great time exploring how these different bags of tricks apply.
Gawande speaks with the authority of a practitioner and the condition-studded run on sentences of an academic. Just how I like it!
Four stars!
Update: I read this in 2013 and gave it 4 stars and I've found it's remained in my brain for nearly 9 years now, and the more I've embraced checklists for everything, the more it's improved my life. I'm upgrading it to 5 stars.
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