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The Checklist Manifesto: How to Get Things Right, by Atul Gawande
Download PDF The Checklist Manifesto: How to Get Things Right, by Atul Gawande
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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
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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.
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Product details
Hardcover: 224 pages
Publisher: Metropolitan Books; First edition (December 22, 2009)
Language: English
ISBN-10: 0805091742
ISBN-13: 978-0805091748
Product Dimensions:
5.9 x 0.9 x 8.6 inches
Shipping Weight: 11.2 ounces (View shipping rates and policies)
Average Customer Review:
4.5 out of 5 stars
1,421 customer reviews
Amazon Best Sellers Rank:
#10,261 in Books (See Top 100 in Books)
Meh. The book is WAY over-hyped!! It spends MOST of its long never-ending pages explaining medical scenarios. It's unbelievable....I felt as if I was studying my Paramedic book again! All that nonsense to get to "Checklists are good...you should develop one for everything you do". That's it folks...I just gave you the cliff Notes for the ENTIRE book! Even the sample checklists (all two of them) they illustrate are a joke.Pay ME whatever this book costs, and I'll actually MAKE a checklist for you! Tell ya what...contact me if you want the book. I'll give it to you if you just pay shipping. Very disappointing!
Despite our vast knowledge in virtually every area of life, Gawande believes we are still deeply prone to failure. He believes many such failures could be overcome (and, conversely, much success obtained) through a simple but often ignored tool, the checklist. He writes:That means we need a different strategy for overcoming failure, one that builds on experience and takes advantage of the inevitable human inadequacies. And there is such a strategy though it will seem almost ridiculous in its simplicity, maybe even crazy to those of us who have spent years carefully developing ever more advanced skills and technologies. It is a checklist (p. 13).Gawande supports his conviction through the use of interesting, true accounts drawn from several areas: medicine (chapters 1, 2, 5, 7 and 8), aviation (chapter 6 and pp. 32-34, 173-182), construction (chapter 3), national disasters (chapter 4), factories (chapter 6), and investments (chapter 8).The author believes that we normally do not look for patterns in our failures but we should, and the simple checklist could serve as our guide (p. 185). I, personally, have always made use of checklists, finding them a valuable means to keep me on task and remind me of what needs to be done. But The Checklist Manifesto has challenged me to step up my game, especially in my supervision of others and in accomplishing long term and/or complex goals. I think most everyone would benefit from reading this well-written, interesting, and helpful book.Reviewed by Gary E. Gilley, Pastor-teacher, Southern View Chapel
Loaded with anecdotes with little scientific backing. Not much to get out of this book other than "checklists can be useful for some situations." If the author ever chooses to write an update, I hope he adds some how-to info and includes such items as criteria for making a good checklist, best practices for checklist structuring and development, etc.
I had to read this book for work, and I wasn't looking forward to it. To my surprise it has a very good narrative is quite readable. The examples used are compelling and keep the pages turning. By the end it had me thinking of our processes and I have my team scouring them looking for places where a checklist would be appropriate. If you're concerned about quality, you should give this book a try.
I bought this for my niece who is a nurse, after my brother's hospital experience was unsatisfactory. Knowledge, history, and status weren't shared by the staff and there was no mechanism for tracking details, like the fact that he was diabetic though recovering from a surgery (related to the diabetes). There were bad estimates of his pain level from the staff not knowing he had had two strokes. And he got a terrible bed sore. My niece works in a different hospital where she described her reputation for documenting everything meticulously. I thought I would give her some further support for this practice. Gawande is the go-to guy for all things medical, and especially for wisdom related to medical and hospital practice. He has data, narratives, and is authoritative. Many errors and hospital acquired complications can be avoided with checklists that keep everyone on all shift on the same page. They are more detailed than normal white board status reports. I noted that a hospital near me, when I went for a diagnostic test, seemed to use the practice. Every new person who entered the room asked my name and what I was there for. While repetitive, it eliminates the possibility of the wrong procedure happening to someone. I also recommend Jerome Groopman for other medical practice wisdom.
I suppose you could order the abbreviated summary version of the book to get the main idea and you might already suspect that the main idea is that checklists are the way to get things right. I must say, however, that the main idea is just the destination and understanding how Atul arrived at this simple and perhaps obvious result is just as important in driving the point home. I am only three chapters in and the point has been made but the supporting evidence around how and why checklists are the way has been profoundly moving.
Very interesting exploration of the benefits of using checklists in various industries (but mainly in operating theaters in hospital) to facilitate consistency which leads to improvements in many areas : productivity, safety, profitability to name but a few. The author is a highly experienced surgeon who saw the advantages of introducing checklists to radically improve patient safety during operations and in recovery. What I found shocking from reading this book was the sheer number of mistakes that are routinely made in operating theaters around the world which lead to poor recovery rates and even death in some cases. The benefit of introducing checklists into theater was enforcement of policy that all staff during an op were now "singing off the same hymn sheet". The book alludes to this idea repeatedly.The book was very readable my only gripe was I'd have liked to have seen an example of the checklists that the author referred to.
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