eBook  ePub The Checklist Manifesto How to Get Things Right ç 9780805091748 Free ´ Atul Gawande

mobi Ü The Checklist Manifesto How to Get Things Right ↠ Atul Gawande

T in intensive care units virtually eliminated a type of deadly hospital infection He explains how checklists actually work to prompt striking and immediate improvements And he follows the checklist revolution into fields well beyond medicine from homeland security to investment banking skyscraper construction and businesses of all kindsAn intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference The Checklist Manifesto is essential reading for anyone working to get things right “One essential characteristic of modern life is that we all depend on systems—on assemblages of people or technologies or both—and among our most profound difficulties is making them work” ― Atul Gawande The Checklist Manifesto Checklists seem to provide a protection against such failures They remind us of the minimum necessary steps and make them explicit They not only offer the possibility of verification but also instill a kind of discipline of higher performance― Atul Gawande The Checklist ManifestoAtul Gawande is a bit intimidating Anytime you have a guy that does surgery public health and has written four bestselling books it is only fair to acknowledge the guy has both brains and hustle Unlike Malcolm Gladwell Gawande has a tremendous talent for distilling scientific and academic ideas into a glossy easily digestible 85 x 6 science lite book Gladwell does it with other people's ideas His books involved several varied stories that come together into a lose federation of themes Gawande usually starts with the idea Hand washing in Better A Surgeon's Notes on Performance or Checklists The Checklist Manifesto How to Get Things Right and creates a book around themLike Dr Gawande the person I find his books to be interesting compelling admirable and straightforward I admire his work and his vision His books are almost always solid just never once yet great Dr Gawande is clever He writes books that are essentially entry level businessleadership books that are disguised as surveys of medicine He uses his experiences as a doctor and public health researcher to tackle broader social and cultural issues that intersect with medicine and health He isn't super subtle but most of those who are reading Gawande aren't looking for poetry or subtly They want an idea to click They want to feel inspired The want to get better and avoid mistakes He seems focused on presenting simple processes soap checklists that may help

kindle The Checklist Manifesto How to Get Things Right

The Checklist Manifesto How to Get Things RightThe New York Times bestselling author of Better 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 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 techniues the checklistFirst introduced decades ago by the US Air Force checklis The Checklist Manifesto is not as helpful as Gawande's previous books especially Better A Surgeon's Notes on Performance which improved my business uite a bit with the injunction to 'count something' so we did everything and saw the patterns You should see my spreadsheets now Just as an aside as an artist I am good at statistics I can see the patterns Can't do maths though never even got to GCSE level on thatWhere this book really made a difference is in operating theatres They are now run like airplanes First there is a very short briefing where any of the team can say anything without regard to status and then there are the checklists to make sure that all eventualities euipment and item retrieval swabs put into your body are supposed to be counted and then accounted for at the end Gawande is so easy to read because he mixes his advice with proof and anecdotes some of them personal These sort of books regardless of the subject are almost a genre in themselves Think Oliver Sacks for neurology and Jon Ronson for somewhat scandalous pop culture but there are many Very enjoyable light non fictionRecommended for people who are allergic to self help books me but work in a complex industry and would like some advice that doesn't look like it because as Oscar Wilde said The only thing to do with good advice is to pass it on It is never of any use to oneself Read March 3 2011 Review rewritten Dec 15th 2015

Atul Gawande ↠ The Checklist Manifesto How to Get Things Right mobi

eBook  ePub The Checklist Manifesto How to Get Things Right ç 9780805091748 Free ´ Atul Gawande Á [BOOKS] ⚣ The Checklist Manifesto How to Get Things Right Author Atul Gawande – Johns-cycling-diary.co.uk The New York Times bestselling author of BettTs 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 than a thirdIn riveting stories Gawande takes us from Austria where an emergency checklist saved a drowning victim who had spent half an hour underwater to Michigan where a cleanliness checklis Over the last couple of years I’ve been studying and some of the subjects I have done have presented me with an assessment rubric This is a kind of checklist which sums up everything that is good and bad about checklists to me The first is that a checklist only really makes sense for highly repeatable behaviours There is a really good reason why they work so well when landing planes and performing surgery Things can go catastrophically wrong in either of these but mostly they go wrong in somewhat predictable ways No that’s not uite right It is like when I represented people in the trade union – people are infinitely inventive in getting themselves into trouble but getting them out of trouble again generally follows a very predictable path Jet engines can stop in all manner of ways but really whether they have stopped because of ice or geese in the end you are still going to want to land the damn planeThe big lesson here is that checklists can very easily become self defeating Checklists aren’t recipes they are not meant to tell you all of the steps necessary to do any particular thing – if they did that they would be so long as to be completely useless Instead the point of an effective checklist is to ensure that you have done all of the things that really must be done – that if they haven’t been done then all hell will break loose There is an interesting discussion here about fires in operating theatres for example They decided not to include a checklist for this in a group of checklists they were working on not because fires don’t happen or that they are not terrifying but because they occur too infreuently and a good checklist looks for low hanging fruit Checklists should also start from the assumption that the person using them is an expert This is why they are not really recipes The point is not to teach a surgeon how to take out your appendix it is to make sure they go through the kinds of checks that have been shown surgeons tend to miss ‘some of the time’ and that cause problems when missed ‘most of the time’In a sense and this is a point that is made really well in the book we all tend to think that checklists are important for other people to follow We know that we don’t make mistakes – obviously that goes without saying – but other people are infinitely stupid and so it is a really good idea that they are forced to make doubly sure If the price we must pay to make sure stupid people don’t make mistakes is for us to have to follow a checklist too well so be it The fact we are deluded about our own abilities should be our primary assumption but never seems to beChecklists need to be comprehensive in the sense that they should be evidence based – what normally goes wrong – and culturally implemented – how do you trip people to make them check before they do what needs to be done? You see we humans are really terrible at following procedures We get bored A computer on the other hand is really good at following procedures In fact that is pretty much all a computer ever does This is the reason why we tend to forget the milk we were supposed to pick up on the way home from work – even though we might have reminded ourselves just as we were leaving We are victims of habit to the extent that something new tends to be forgotten Unfortunately we aren’t even all that good at habit and so even things we do over and over again we tend to mess up now and again as our minds wonderThe advice here then is that checklists can make a huge difference but that checklists like poems are very hard to write And that is true for much the same reason In a good checklist you have to leave out what isn’t necessary but make sure you put in what is There is an inverse relationship operating here – the easier it sounds to write a checklist that ‘just has important things’ the harder it actually is to do I believe the best people to write checklists are those who admits to making mistakes – but then I think people who admit to making mistakes are the best people anyway They tend to be grossly mistreated ‘she admits to making mistakes what a loser’ are infinitely rare – but invariably worth their weight in goldIf writing a checklist is a remarkably difficult task following one can be just as hard As I said I’ve had to hand in assignments that have reuired following assessment rubrics In theory these should be easy – make sure you have answered all of the uestions and you win But what is really called for is a change in culture You need to remember to go back and check through the checklist before handing in the essay and really check it not just glance over it This is a very hard thing to do once you have convinced yourself you have done ‘everything’ that needs to be done already On one assignment this year I did not address an entire assessment criteria – it turned out I was not the only one to leave this particular criteria out It was not in the least surprising to me that this was the criteria that asked me to detail how I would change what had occurred This was the uestion that was asking me to be creative – and being creative is the hardest thing and therefore the most likely thing to be left to the end based on those most the dangerous words ‘I’ll just come back to that later’ But without having some procedural ‘cultural’ trigger to actually go through the checklist one last time before handing in the assignment many of us completely missed this uestion and lost what ought to have been fairly easy marksThe problem is that checklist areHard to writeHard to followEasy to convince ourselves we’ve followed when we haven’tOnly good for or less predictable outcomes and processesGiven these limitations this book does make it clear that they do make substantial improvements to performance if they are well constructed easy to use and effectively usedMy main problem though is that checklists come at the problem from the wrong end of the telescope Checklists should be used as a ‘when everything else fails’ solution The first solution we should be looking for is not how do we restrict the options available by writing or less optional procedures we should be redesigning out dangers Procedures lead to cultures of blame and as I’ve said humans aren’t terribly good at following procedures So a checklist is a kind of time bomb waiting to go off in the face of the overworked and overly stressed person who misses one of its line items If you really want to improve things don’t start by writing lists start by redesigning hazards out of situations For example if you are using a guillotine you can have a checklist that says ‘make sure your hands are not under the blade before operating’ or you can construct the guillotine so that it is impossible for either hand to be under the blade when it cuts It is infinitely better to make it impossible for the worker to lose their hands than it is to smugly tell them they don’t have hands because they didn’t properly follow a checklistBut with that said I think this is a very interesting book and also know that if I was the sort of person who made lists I would probably be happier and successful Just because this book is a clear victory for the anally retentive doesn’t make it any less worthwhile