![]() This is the fundamental puzzle of modern medical care: you have a desperately sick patient and to save him you have to get the knowledge right and then you have to make sure that the 178 daily tasks that follow are done correctly – despite the tremendous pressure in the situation. When lives are on the line medical care succeeds only when specialists hold the odds of harming low enough for the odds of doing good to prevail. For medicine, in particular, this complexity comes in various types of diseases which oftentimes interfere with each other having patients react individually from case to case. This most notably applies to medicine, but also the construction and flying industries are remarkably complex. The Problem of extreme complexityĪs the author being a surgeon illustrates, many realms have become the art of managing extreme complexity. He tells his story about adopting and refining his surgery checklist and successfully preventing failures in his practice. Reaching out to other fields like the building and flying industry, where high standards of excellence had already been established he learned about the values of an incredibly simple tool- the checklist. In the book “the checklist manifesto” the author Atul Gawande portrays his journey from his attempt to reduce human failures in surgery. Being a simple, straightforward tool almost every area of life can benefit from a checklist. The use of checklists provides a framework for verification and instills a kind of discipline of higher performance. Making steps explicit and easy to follow through like a recipe, important steps are hardly missed. The solution lies in something incredibly simple: A checklist.Ĭhecklists improve the baseline of performance without adding any skills. But failures remain frequent and persist despite remarkable individual competency. However, the capability of individuals is not a limiting factor as training in most fields follows the highest standards. But the judgment often ignores the reality of complexity – of how extremely difficult the job is. ![]() In contrast, if the knowledge exists and is not applied correctly it is difficult not to be infuriated. ![]() If knowledge about best practices is absent in given situations, we are happy to have people simply do their best. Yet experienced, well-trained, and capable people make avoidable make mistakes every single day.Įspecially when done in life-threatened situations, those failures seem to carry emotional weight. Knowledge and sophistication have increased remarkably across our realms of endeavor.
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