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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
This book is more of a pitch for how awesome checklists can be, which is kind of like "no duh!", than a book that would be useful to help someone flesh out how they might... Read morePublished 11 hours ago by David A. Kaplowitz
Great book,but just like many books similar to this one, it could have been broken down to a whitepaper.Published 23 hours ago by Pen Name
A thoroughly engaging account of the way in which a relatively simple change can bring about significant improvements in performance. Read morePublished 4 days ago by Amazon Customer
Great insight into operations and how to improve performance. I'm in finance and found this a great read. Talks about things that are very relevant to sustainability as well.Published 5 days ago by David
Very readable and engrossing. Great illustrations to a simple concept.Published 8 days 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 13 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 16 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 17 days ago by Z. Z.