Word: checklists
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Dates: during 2010-2010
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...wield an arsenal of 6,000 drugs and 4,000 procedures. But surgeon and author Atul Gawande says the very vastness of our knowledge gets in the way: doctors make errors because they simply can't remember it all. The solution, he outlines in his new book, The Checklist Manifesto: How to Get Things Right, isn't fancier technology or more training. It's as simple as an old-fashioned checklist, like those used by pilots, restaurateurs and construction engineers. When his research team introduced one in eight hospitals in 2008, major surgery complications dropped 36% and deaths plunged...
...write that we're often reluctant to believe that something as banal-sounding as a checklist can get results and look for heroes - as we did in the "Miracle on the Hudson," for instance. We didn't want to believe that Sully [Captain Chesley Sullenberger] had computer systems helping guide the plane down or that his co-pilot was playing a crucial role. When I do an operation, it's half a dozen people. When it goes beautifully, it's like a symphony, with everybody playing their part. And then I go talk to the family and they say, 'Thank...
...checklists can help fix that but sometimes run against the medical culture. We evolved from a world where the operating theater - we called it a theater - was a stage for the surgeon. Now it is a stage for an entire team of people to work in sync. The most important component [of the checklist] has turned out to be making sure that everybody in the room has been introduced by name and that people just take a minute to discuss the case in advance. I introduced the checklist in my operating room, and I've not gotten through a week...