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is an incredible book that I highly recommend to anyone that works in a complex environment, especially if that involves working with multi-discipline teams. And most especially if this involves frequently working with people you have never worked with before.
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Ah, checklists…one of the most bandied about things in medicine lately.
Don’t get me wrong, I am mostly in favor of them. It’s just that, like all good things, many times people take things to an extreme when first implementing them.
Your quote above references lists being “…swift, usable, and resolutely modest…”. When they fulfill these criteria, then they can be very useful, indeed. Sometimes people try to impose overarching lists to cover all possible situations, which results in experienced practitioners (who recognize the inherent relative waste of time of such lists) to not reference them at all.
I favor a “sensible middle ground”. I think that lists should be introduced when they can be shown to be useful. This means that, like all interventions, they need to be studied.
As to “getting past the culture of surgeons”, like most “commonly held beliefs” there is some truth there. But it is not a universal truth. And not a wholly unmanageable one.
Joe
Ideas are great, but success is all in the execution. One of the things that most impressed me about the book was the amount of time he spent discussing the importance of checklist design. As you say, and they found, checklists that are more instruction or algorithm are next to useless in a complex environment.
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