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The Checklist Manifesto: How to Get Things Right

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Item Description...

Overview
The best-selling author of Better and Complications draws from his surgical experience to explain how simple checklists have prompted striking and immediate improvements in surgical and hospital settings, then goes beyond the field of medicine to explore how checklists have improved everything from homeland security to investment banking.

Publishers Description

The 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 more 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 techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists 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 more than a third.

In 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 checklist in intensive care units virtually eliminated a type of deadly hospi-tal 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 kinds.

An 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.



Item Specifications...

Pages   209
Dimensions:   Length: 0.75" Width: 5.75" Height: 8.25"
Weight:   0.75 lbs.
Binding  Hardcover
Release Date   Dec 22, 2009
ISBN  0805091742  
EAN  9780805091748  


Availability  21 units.
Availability accurate as of May 30, 2012 03:17.
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Product Categories
1Books > Subjects > Medicine > General   [20448  similar products]
2Books > Subjects > Medicine > Specialties > Surgery > General   [672  similar products]
3Books > Subjects > Nonfiction > Social Sciences > General   [10703  similar products]
4Books > Subjects > Professional & Technical > Medical > Medicine > Surgery > General Surgery   [640  similar products]



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Reviews - What do our customers think?
It Just Makes Sense- An AH HA Moment!  Jan 6, 2010
As a professional nurse, I realize that life has become so complicated, that I want to give the best care possible, and that I need some help. Atul Gawande, is not the first person to come to the realization that checklists are the way to go. He has, however, written about his experiences brilliantly.

I have been involved in many health care improvement projects. This has all led to the realization that the way I practice my craft has changed enormously. One of the most important of these realizations is that we need to include the patient in every aspect of care. After all, is that not why we are here, for our patients? Who better to give us expertise from their advantage point. Dr Gawande has gone a step further and has looked at other professions and how they have overcome the complexities of their profession. The airlines, he discovered use checklists. Now, checklists can be cumbersome, you need to be able to make a checklist that is concise, does not take much time and will be used. Nurses understand that change with physicians can be a black hole. Often, each physician thinks their way of 'doing things' is the best. To corral them into using a checklist takes expertise and good outcomes. What Dr Gawande gives us is that by using a simple checklist for surgeons, outcomes for patients improved 46%. Unbelievable results. However, Dr Gawande has also told us that there has not been one day since he started using checklists that he realized he and his team might have overlooked a step. Certainly, not every step would have avoided a death, but each step will give better outcomes.

Such a simple thing, really, checklists. Busy people, caught in the complexities of life can change their ways and can produce better outcomes by using a simple checklist. Don't we make checklists when we go to market? Realizing, of course, we can't remember everything we need. Ah ha! A moment of recognition- it could work for any aspect of our life. Saving lives is Dr Gawande's method, but making our lives simpler and more productive is just as important. An ah ha moment in reality!

Highly Recommended. prisrob 01-06-10

Better: A Surgeon's Notes on Performance

Complications: A Surgeon's Notes on an Imperfect Science
 
incontrovertible  Jan 5, 2010
Gawande's book is a gem. It's an easy read that flows from one interesting data-supported example to another, with a conclusion that is just as applicable in business as it is in medicine. When I got my pilot's license, my instrutor stressed that while one only needed a 70 to pass the written exam, there were aspects of flying that one needed to get a 100 on every single time to stay alive. Details matter, and regardless of our intelligence and training, we are not hard-wired to remember every critical step, every single time. Checklists are simple, and their effectiveness is irrefutable.
 
Insightful, well-written, relevant, and important  Dec 30, 2009
Unfortunately sporting one of the least promising covers ever, don't be deceived -- "The Checklist Manifesto" isn't a desktop publishing project by a high school student, it's real Atul Gawande being his normal, brilliant self. The book flows seamlessly and weaves medicine and other professions together in a story tapestry that will leave you shaking your head with blinding flashes of the obvious. A vital read for anyone managing complexity.
 
Thought provoking and deceptively simple solution approach (4.5*)  Dec 27, 2009
Drawing from his rich experience and analogies from construction engineering and aircraft piloting domains, Gawande provides a deceptively simple (potential) approach to mitigate significant problems in healthcare delivery. In the early chapters, Gawande clearly explains the challenges associated with the exponential growth in the volume and complexity of information and the inability of deep expertise alone to manage that information successfully. Citing various examples ranging from Walmart's response to Katrina, Keystone initiative/Pronovost's research and WHO's efforts in characterizing patient safety issues in surgery, the author then hypothesizes about the key questions one need to be able to answer to develop solutions for complex problems (the discussion on the differences between what he considers a simple, complicated or complex problem, though short is quite informative). The remainder of the book essentially projects (quite successfully) the use of a checklist approach to identify ways to reduce errors in clinical processes. The author then discusses the two main types of checklists, characteristics of what constitutes a good checklist and some potential challenges of the approach. It is in the last component, one wishes Gawande had not only provoked an interesting discussion, but also prescribed a more definitive approach - while he acknowledges very unambiguously that the "codification of understanding" needed for developing checklist is not be feasible for all domains, it would have been immensely helpful if the author had devoted more space to discussing that observation and framed some potential research questions. (hence the half star deduction!).

Readers familiar with Better: A Surgeon's Notes on Performance and Complications: A Surgeon's Notes on an Imperfect Science are already exposed to a lucid, logical and entertaining narration style of the author and wont be disappointed with this book either. The well-referenced statistics used in the narration is an excellent starting point for more serious readers investigating healthcare delivery processes. Overall, a very informative, entertaining and thought-provoking book that can potential re-frame the way one thinks of process models for clinical settings. A must-read.
 
Invaluable Reminder  Dec 24, 2009
As in all of his work, Dr. Gawande latest book brilliantly reminds us all of the huge value of getting the human interaction side right to accompany the advancements in science and technology that his (and other's) field of work has witnessed. It highlights the inadequacy of technical expertise when not joined by an equal (maybe greater) emphasis on strengthening our relationships with those we work with and care about. Though the medical narrative is gripping, I challenge you to not be moved by so many of the other stories of people under complex pressure trying to get things right. The beautifully written examples of Wal-Mart and Katrina and of Mr. Hagerman are worth far more than the price of the book just on their own.
 

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