![]() So for any new checklist created from scratch, you have to pick the type that makes the most sense for the situation.” With a READ-DO checklist, on the other hand, people carry out the tasks as they check them off-it’s more like a recipe. ![]() They pause to run the checklist and confirm that everything that was supposed to be done was done. With a DO-CONFIRM checklist, he said, team members perform their jobs from memory and experience, often separately. ![]() You must decide whether you want a DO-CONFIRM checklist or a READ-DO checklist. You must define a clear pause point at which the checklist is supposed to be used (unless the moment is obvious, like when a warning light goes on or an engine fails). “When you’re making a checklist, Boorman explained, you have a number of key decisions. The researchers called it an ‘activation phenomenon.’ Giving people a chance to say something at the start seemed to activate their sense of participation and responsibility and their willingness to speak up.” “The investigators at Johns Hopkins and elsewhere had also observed that when nurses were given a chance to say their names and mention concerns at the beginning of a case, they were more likely to note problems and offer solutions. There must always be room for judgment, but judgment aided-and even enhanced-by procedure.” “Under conditions of complexity, not only are checklists a help, they are required for success. All you ask is that they talk to one another and take responsibility. You give people the room to adapt, based on their experience and expertise. “The philosophy is that you push the power of decision-making out to the periphery and away from the center. “Three different kinds of problems in the world: the simple, the complicated, and the complex.” “Checklists seem able to defend anyone, even the experienced, against failure in many more tasks than we realized.” ![]() Pronovost found checklists established a higher standard of baseline performance. “The researchers found that simply having the doctors and nurses in the ICU create their own checklists for what they thought should be done each day improved the consistency of care to the point that the average length of patient stay in intensive care dropped by half.” They not only offer the possibility of verification but also instill a kind of discipline of higher performance.” They remind us of the minimum necessary steps and make them explicit. “Checklists seem to provide protection against such failures. “A further difficulty, just as insidious, is that people can lull themselves into skipping steps even when they remember them. “Whether running to the store to buy ingredients for a cake, preparing an airplane for takeoff, or evaluating a sick person in the hospital, if you miss just one key thing, you might as well not have made the effort at all.” Knowledge has both saved us and burdened us.” But avoidable failures are common, and the reason is simple: the volume and complexity of our knowledge has exceeded our ability to consistently deliver it – correctly, safely or efficiently.“The volume and complexity of what we know has exceeded our individual ability to deliver its benefits correctly, safely, or reliably. Today we find ourselves in possession of stupendous know-how, which we willingly place in the hands of the most highly skilled people. ![]() Fascinating and enlightening, The Checklist Manifesto shows how the simplest of ideas could transform how we operate in almost any field. Whether you're following a recipe, investing millions of dollars in a company or building a skyscraper, the checklist is an essential tool in virtually every area of our lives, and Gawande explains how breaking down complex, high pressure tasks into small steps can radically improve everything from airline safety to heart surgery survival rates. In this groundbreaking book, Atul Gawande makes a compelling argument for the checklist, which he believes to be the most promising method available in surmounting failure. But avoidable failures are common, and the reason is simple: the volume and complexity of our knowledge has exceeded our ability to consistently deliver it - correctly, safely or efficiently. THE GAME-CHANGING BOOK FROM THE BESTSELLING AUTHOR OF BEING MORTAL ![]()
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