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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
Very readable and engrossing. Great illustrations to a simple concept.Published 1 day ago by Michelle Fennessey
Gawande is a doctor by day, but a writer by night. It was a good (and not too long) read. Gawande presents a good argument. Read morePublished 6 days ago by Griffin C
I have been an advocate for the WHO Safety Checklist and after reading this, will do what I possibly can to encourage the rest of my department.Published 9 days ago by Yellow
I never thought I'd enjoy a book about checklists but I enjoyed Gawande's other books so I gave this one a try. Read morePublished 10 days ago by Z. Z.
Very insightful. I will always question medical practisioners & surgeons more in futurePublished 16 days ago by Rod Leonard-Rogers
Fantastic book confirmes my own dependendce on List Making! For projects, gifts, work priority lists, etc. Fantastic lesson for all industries!Published 16 days ago by Eileen Kalal
Excellent explanation of the method and how the author came to it.Published 17 days ago by Kenneth Todd