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The Checklist Manifesto: How to Get Things Right, by Atul Gawande
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In his latest bestseller, Atul Gawande shows what the simple idea of the checklist reveals about the complexity of our lives and how we can deal with it.
The modern world has given us stupendous know-how. Yet avoidable failures continue to plague us in health care, government, the law, the financial industry—in almost every realm of organized activity. And the reason is simple: the volume and complexity of knowledge today has exceeded our ability as individuals to properly deliver it to people—consistently, correctly, safely. We train longer, specialize more, use ever-advancing technologies, and still we fail. Atul Gawande makes a compelling argument that we can do better, using the simplest of methods: the checklist. In riveting stories, he reveals what checklists can do, what they can’t, and how they could bring about striking improvements in a variety of fields, from medicine and disaster recovery to professions and businesses of all kinds. And the insights are making a difference. Already, a simple surgical checklist from the World Health Organization designed by following the ideas described here has been adopted in more than twenty countries as a standard for care and has been heralded as “the biggest clinical invention in thirty years” (The Independent).
- Sales Rank: #1926 in Books
- Brand: Baker and Taylor
- Published on: 2011-01-04
- Released on: 2011-01-04
- Original language: English
- Number of items: 1
- Dimensions: 8.22" h x .70" w x 5.54" l, .42 pounds
- Binding: Paperback
- 240 pages
Amazon.com Review
Amazon Best Books of the Month, December 2009: With a title like The Checklist Manifesto, it would be natural to expect that Atul Gawande is bent on revolutionizing that most loved-hated activity of workers the world over: the to-do list. But it's not the list itself he wants to change; there are no programmatic steps or tables here to help you reshuffle daily tasks. What you'll find instead is a remarkably liberating and persuasive inquiry into what it takes to work successfully and with a personal sense of satisfaction. The first thing you'll realize is that it takes more than just one person to do a job well. This is a toppling revelation made all the more powerful by Gawande's skillful blend of anecdote and practical wisdom as he profiles his own experience as a surgeon and seeks out a wide range of other professions to show that a team is only as strong as its checklist--by his definition, a way of organizing that empowers people at all levels to put their best knowledge to use, communicate at crucial points, and get things done. Like no other book before it, The Checklist Manifesto is at once a restorative call to action and a welcome voice of reason. --Anne Bartholomew
Amazon Exclusive: Malcolm Gladwell Reviews The Checklist Manifesto
Malcolm Gladwell was named one of TIME magazine's 100 Most Influential People of 2005. He is most recently the author of What the Dog Saw (a collection of his writing from The New Yorker) as well as the New York Times bestsellers Outliers, The Tipping Point, and Blink. Read his exclusive Amazon guest review of The Checklist Manifesto:
Over the past decade, through his writing in The New Yorker magazine and his books Complications and Better, Atul Gawande has made a name for himself as a writer of exquisitely crafted meditations on the problems and challenges of modern medicine. His latest book, The Checklist Manifesto, begins on familiar ground, with his experiences as a surgeon. But before long it becomes clear that he is really interested in a problem that afflicts virtually every aspect of the modern world--and that is how professionals deal with the increasing complexity of their responsibilities. It has been years since I read a book so powerful and so thought-provoking.
Gawande begins by making a distinction between errors of ignorance (mistakes we make because we don't know enough), and errors of ineptitude (mistakes we made because we don’t make proper use of what we know). Failure in the modern world, he writes, is really about the second of these errors, and he walks us through a series of examples from medicine showing how the routine tasks of surgeons have now become so incredibly complicated that mistakes of one kind or another are virtually inevitable: it's just too easy for an otherwise competent doctor to miss a step, or forget to ask a key question or, in the stress and pressure of the moment, to fail to plan properly for every eventuality. Gawande then visits with pilots and the people who build skyscrapers and comes back with a solution. Experts need checklists--literally--written guides that walk them through the key steps in any complex procedure. In the last section of the book, Gawande shows how his research team has taken this idea, developed a safe surgery checklist, and applied it around the world, with staggering success.
The danger, in a review as short as this, is that it makes Gawande’s book seem narrow in focus or prosaic in its conclusions. It is neither. Gawande is a gorgeous writer and storyteller, and the aims of this book are ambitious. Gawande thinks that the modern world requires us to revisit what we mean by expertise: that experts need help, and that progress depends on experts having the humility to concede that they need help. --Malcolm Gladwell
From Publishers Weekly
That humblest of quality-control devices, the checklist, is the key to taming a high-tech economy, argues this stimulating manifesto. Harvard Medical School prof and New Yorker scribe Gawande (Complications) notes that the high-pressure complexities of modern professional occupations overwhelm even their best-trained practitioners; he argues that a disciplined adherence to essential procedures—by ticking them off a list—can prevent potentially fatal mistakes and corner cutting. He examines checklists in aviation, construction, and investing, but focuses on medicine, where checklists mandating simple measures like hand washing have dramatically reduced hospital-caused infections and other complications. Gawande gets slightly intoxicated over checklists, celebrating their most banal manifestations as promethean breakthroughs (First there was the recipe, the most basic checklist of all, he intones in a restaurant kitchen). He's at his best delivering his usual rich, insightful reportage on medical practice, where checklists have the subversive effect of puncturing the cult of physician infallibility and fostering communication and teamwork. (After writing a checklist for his specialty, surgery, he is chagrined when it catches his own disastrous lapses.) Gawande gives a vivid, punchy exposition of an intriguing idea: that by-the-book routine trumps individual prowess. (Jan.)
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
Review
“I read The Checklist Manifesto in one sitting yesterday, which is an amazing tribute to the book that Gawande has crafted. Not only is the book loaded with fascinating stories, but it honestly changed the way I think about the world. It is the best book I've read in ages.” ―Steven Levitt, author of Freakonomics
“Few medical writers working today can transmit the gore-drenched terror of an operation that suddenly goes wrong--a terror that has a special resonance when it is Dr. Gawande himself who makes the initial horrifying mistake. And few can make it as clear as he can what exactly is at stake in the effort to minimize calamities.” ―The New York Times
“Even skeptical readers will find the evidence staggering. . . . Thoughtfully written and soundly defended, this book calls for medical professionals to improve patient care by adopting a basic, common-sense approach.” ―The Washington Post
“A persuasive champion of his cause.” ―The Economist
“The Checklist Manifesto is beautifully written, engaging, and convincingly makes the case for adopting checklists in medicine, a project to which Gawande has devoted significant time over the last several years. . . . It is in many ways the most personal of his books, a direct call to action to change the way health care is delivered through straightforward and simple, yet proven, means. It is a call that deserves to be heard and heeded.” ―Journal of the American Medical Association
“Gawande deftly weaves in examples of checklist successes in diverse fields like aviation and skyscraper construction. . . . Fascinating reading.” ―New York Times Book Review
“This is a brilliant book about an idea so simple it sounds dumb until you hear the case for it. Atul Gawande presents an argument so strong that I challenge anyone to go away from this book unconvinced.” ―The Seattle Times
“Fascinating . . . presents a convincing case that adopting more checklists will surely help.” ―Bloomberg News
“Gawande argues convincingly and eloquently.” ―San Francisco Chronicle
“The scope goes well beyond medicine. . . Read this book and you might find yourself making checklists for the most mundane tasks--and be better off for it.” ―BusinessWeek
“A vivid, punchy exposition of an intriguing idea: that by-the-book routine trumps individual prowess.” ―Publishers Weekly
“Maintains the balance between accessibility and precision. He manages to be vivid without being gruesome. . . .” ―The Guardian (UK)
“Riveting and thought-provoking.” ―The Times (UK)
“Eye-popping. . . Gawande writes with vigor and clarity.” ―New Haven Advocate
Most helpful customer reviews
149 of 153 people found the following review helpful.
10 Highlights of This Book
By AdamSmythe
I looked over the other reviews of this interesting book, and there are many of them that you will find very useful--so I'll just try to list some highlights. As Dr. Gawande points out, a checklist can't be too long (people won't use it), yet it must succinctly cover the most essential considerations of the situation at hand. Although what follows isn't a checklist, I'll try to focus on the most essential characteristics of Dr. Gawande's book:
First, this is an easy-to-read, engaging book. I'll bet that you will find it hard to put down. It is interesting enough to make you want to read the book and serious enough to deliver important messages.
Second, the value of using checklists springs directly from the complexity of modern life, whether we're talking about surgery (the author is a surgeon), flying an airplane or building a skyscraper. By the way, in reading this book I have developed a newfound appreciation of how complex the construction business can be.
Third, checklists are not just for simple, straightforward tasks. Checklists help people communicate and work together better, especially when the unexpected occurs.
Fourth, checklists are important regardless of the time available. Indeed, when the cockpit crew of US Airways flight 1549 lost both engines over New York City, they had only three minutes of airtime remaining. The first thing they did was to get out their checklists. (You can read Captain Sully Sullenberger's excellent book for more details.)
Fifth, checklist usage has saved numerous lives, including one of Dr. Gawande's patients. His candor in discussing that episode is laudable.
Sixth, humans being human, mistakes will inevitably occur. Checklist usage is important when the potential cost of human mistakes is great.
Seventh, the mere act of creating a checklist focuses the mind on the most important characteristics of our tasks.
Eighth, like anything else, it takes practice to produce and use checklists effectively.
Ninth, practice comes from commitment and personal discipline. Indeed, one of the most important things Sully Sullenberger did was to maintain his composure and discipline, even while the gravity of his situation must have been racing through his mind.
Tenth, as I read this book, my mind frequently reflected on how a checklist approach could be applied in some of the business and academic practices that I am familiar with. That's the real beauty of this book--it gets the reader thinking about ways to improve life.
2 of 2 people found the following review helpful.
Checked Out
By Doug
Checklist Manifesto reads like a very good long form blog post that got stretched into a book. I bought the book having sparked to Atul's premise that "Checklists" might be an under utilized tool for business and was interested in learning how to put it to use in my field. The disappointment with this book stems from the fact Atul spends the entire book recounting stories across the medical, construction, and aviation industries to illuminate why checklists are critical to these fields. He is an excellent writer and the stories are well explored but he belabors the point. One chapter on the importance of checklists would be enough for readers who paid to read about checklists. Would have preferred more in depth about how to create checklists in an industry agnostic manner. If you are interested in detailed stories about commercial construction & surgical process definitely read and enjoy. If you are looking for more detailed "how to" on creating checklists for your work you may want to just search for the example templates he includes at the end of the book.
4 of 4 people found the following review helpful.
Nice stories, not much process
By Tony M.
This book is full of fascinating stories of how checklists improved the quality and safety standards in various industries, including medicine, engineering and airlines. Most of the book tells the authors own story about how he convinced his reluctant surgeon colleagues to use checklists. It's a great inspirational story if you're fighting headwinds in your industry while trying to improve a process.
The downside of the book is that it's not technical and excludes any detail on the process itself. If you're looking for tangible steps on how to improve your processes using checklists, you'll be disappointed.
If you like reading about engineering mishaps & stories, this is a nice short read. But if you're looking for a real plan of action, keep looking.
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