

The bottom line? Checklists improve performance everywhere they are applied. Gawande walks us through the power of checklists on “How to Get Things Right.” His emphasis is on his field of medicine/surgery but he highlights the parallels between his world and that of aviation, building, finance and even running a world-class restaurant. It is also, of course, packed with Big Ideas. Simple surgical checklists-of the most mundane, “stupid” things like confirming the side of the body on which the surgery will be performed and having the surgical team introduce themselves to one another-can reduce the mortality rates of surgeries by 47%.Īfter finishing that last Note, I immediately found this book on a bookshelf in my office (we’ve had a bunch of people request a Note on it) and started reading it. The basic idea of that idea and of this book? We ended our last Note on The Progress Principle by Teresa Amabile with a Big Idea featuring wisdom from this book. He’s also an extraordinary, best-selling author of a number of books. ~ Atul Gawande from The Checklist ManifestoĪtul Gawande is a surgeon, writer, and public health researcher. And there is such a strategy-though it will seem almost ridiculous in its simplicity, maybe even crazy to those of us who have spent years carefully developing ever more advanced skills and technologies. That means we need a different strategy for overcoming failure, one that builds on experience and takes advantage of the knowledge people have but somehow also makes up for our inevitable human inadequacies. Knowledge has both saved us and burdened us. And the reason is increasingly evident: the volume and complexity of what we know has exceeded our individual ability to deliver its benefits correctly, safely, or reliably. Avoidable failures are common and persistent, not to mention demoralizing and frustrating, across many fields-from medicine to finance, business to government. Nonetheless, that know-how is often unmanageable. 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. “Here, then, is our situation at the start of the twenty-first century: We have accumulated stupendous know-how.
