It also prevented mistakes in administering anaesthesia by ensuring everyone was aware of special requirements before the surgery began. Thanks to the checklist, extra blood had been prepared ahead of time, despite Gawande's confidence in performing a surgery he'd done successfully many times before.Īt other times, the checklist ensured patients with allergies weren't given medications that would have caused a reaction, which would have been administered as a matter of course in most cases. The checklist saved a life in at least one case, where a mistake by Gawande led to a critical need for blood while the mistake was corrected. Though Gawande admits he didn't expect to see the checklist make much difference in his own surgeries, he followed it to avoid hypocrisy and was surprised by the results. Run through the list, and you'll make sure everyone in on the same page about the surgery to be conducted, aware of who else was on the surgical team, and knows their role in the procedure. The checklist was designed to ensure basic checks were always completed before surgery. Gawande in 2009 introduced a hospital surgery checklist for doctors and nurses as part of a program developed with the World Health Organization.
#CHECKLIST MANIFESTO BULK VERIFICATION#
(Checklists) not only offer the possibility of verification but also instill a kind of discipline of higher performance.Ītul Gawande, MD, "The Checklist Manifesto" "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," writes Gawande. But humbling ourselves by using a checklist can improve our performance and help us achieve more consistent results. Had a checklist been followed, the patient wouldn't have been left in the ER to await surgery for a small knife wound, but would have been rushed to surgery immediately when his doctors realized how deep his wound went.Ĭhecklists seem simple, Gawande says, and are sometimes hard for us to accept as a necessity when we're in high-powered jobs that rely on our skills and knowledge.
Asking about the weapon used is a normal practice-it just got missed this one time. "Your mind doesn't think about a bayonet in San Francisco," Gawande later heard from his friend. Although it seemed like a small knife wound, the patient had actually been struck by a bayonet-part of the assailant's costume. Only when he was opened up did the doctor finally realize the stab wound went much further inside the patient than he'd thought, cutting right into the aorta-the main artery from the heart. Nothing his medical team did improved it, so he was rushed to surgery. The patient's blood pressure was barely detectable. The doctors and nurses involved did a thorough check of the patient and scheduled him for surgery.Įverything seemed fine, until the patient stopped responding and his heart rate skyrocketed. The patient came into the emergency room one night with a stab wound from a Halloween party. In The Checklist Manifesto, Gawande tells a story about a patient treated by his friend, a doctor in San Francisco. This top doctor even has evidence to prove it. It can make you better at your job and save you time. Yes, a simple little checklist can save lives and stop buildings from crumbling. Gawande believes the answer to this problem is to use checklists. There's only so much we can carry around in our heads without forgetting something.
Nonetheless, that know-how is often unmanageable."Īs more of us take on "knowledge worker" roles, where our livelihoods rely on collecting, interpreting, and applying huge amounts of information, we're becoming more prone to these same errors. And, with it, they have indeed accomplished extraordinary things. "We have put it in the hands of some of the most highly trained, highly skilled, and hardworking people in our society. "We have accumulated stupendous know-how," Gawande writes in his book. The same goes for engineers, lawyers, and pilots: anyone who has to carry around an enormous amount of knowledge and experience and apply it effectively, is prone to make mistakes sometimes.
These mishaps, according to Atul Gawande, MD, author of The Checklist Manifesto, are due to the incredibly complicated nature of doctors' jobs. Even the very best medical professionals in their fields make mistakes. You go with confidence, too, trusting that your physician won't make a mistake when it comes to your case.īut doctors do make mistakes. Even if you've read an alarming story about medical procedures gone wrong, you still book doctor appointments to address ailments.
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