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Loading... The Checklist Manifesto: How to Get Things Rightby Atul Gawande
![]() No current Talk conversations about this book. ![]() ![]() Dr. Gawande's reputation proceeded him, meaning that much of the medical community had already read the NEJM article on the same topic, considered how it applied to subfields of medicine, personal practices, etc. and the reforms espoused had largely been adopted, at least by the American medical community by the time of publication. Nonetheless, Dr. Gawande's journey to discover why checklists matter, the subtle ways in which they matter and the fields that have instituted them was an interesting, if slightly shallow read. Book on CD read by John Bedford Lloyd Subtitle: How to Get Things Right Gawande became well-known for his original book of essays Complications: A Surgeon’s Notes on an Imperfect Science, in which he outlined some of the difficulties faced by modern-day surgeons despite the very best training and equipment. He wrote it while still a resident in training, and followed it up a few years later with Better: A Surgeon’s Notes on Performance where he described more of his observations and shared his thoughts and questions for continued improvement. THIS book is his third. He explains how a tool used in many industries to ensure that complex procedures are carried out in a “best practices” way consistently might be (and has been) applied to the complexities of modern medicine. What is this tool? A checklist. I loved his earlier books partly because I am a total geek about medicine. So this book was slow to get my attention because he wrote about pilots and construction managers in some detail before getting around to applying that checklist tool to medicine. But when he began to relate the world-wide study undertaken under the auspices of the World Health Organization, I began to feel his enthusiasm for the subject, and his (and others’) excitement over the early results. Still, for me at least, it seemed to be missing some of the “special sauce” that his earlier works (and his later work: Being Mortal”) had. I expect that this is partly due to the fact that this book is much more clearly aimed at the medical professional, and was, therefore, less personal to me. Still, you can bet I’ll be asking my surgeon / anesthetist / nurse about their use of a checklist the next time I have to have any surgical procedure! John Bedford Lloyd did a fine job of narrating the audiobook, although I think the book might be best appreciated in text format.
I already know that "The Checklist Manifesto" will be on my list of best books this year. Gawande writes with gusto, humor and clarity. He features his mistakes -- always a good sign in a reporter -- including the one that ends the book. Read this book and you might find yourself making checklists for the most mundane tasks—and be better off for it. But that narrative gift doesn't transfer automatically to accounts of in-flight safety checks and structural engineering near-misses. Gawande's style is always clear, with the crispy lilt that is a trademark of the New Yorker, where he is also a staff writer. But there's no escaping the fact that this is a book about, well, checklists. Hemingway would struggle to make it gripping. Gawande does well to pull off engaging. Gawande, a professor of surgery at Harvard Medical School and a staff writer at The New Yorker, makes the case that checklists can help us manage the extreme complexity of the modern world. In medicine, he writes, the problem is “making sure we apply the knowledge we have consistently and correctly.” Failure, he argues, results not so much from ignorance (not knowing enough about what works) as from ineptitude (not properly applying what we know works). Dr. Gawande is right to note that checklists are indispensable in situations where a small mistake can lead to tragic consequences, as in surgery. But his call for a broad checklist regime would be counterproductive—fraught with all the dangers of bureaucracy and excessive law. Distinctions
Reveals the surprising power of the ordinary checklist now being used in medicine, aviation, the armed services, homeland security, investment banking, skyscraper construction, and businesses of all kinds. No library descriptions found.
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![]() GenresMelvil Decimal System (DDC)610.289Technology Medicine and health Medicine Compends Auxiliary techniques and procedures; apparatus, equipment, materialsLC ClassificationRatingAverage:![]()
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