Annals of Medicine: The Checklist : The New Yorker [feedly]
Just read this great article on the power of checklists written by Atul Gawande. The central thesis is that, checklists are simple to construct, implement in real world clinical settings and are associated with significantly improved outcomes. He starts with a scenario of complexity of saving lives in intensive care units; on an average that requires attending to about 180 stuff a day. Even with 1% mistakes, we are looking at two mistakes per day some of which could prove fatal for the patient down the line. That has driven the need for medicine being more specialist driven, which is true. At the same time, for small countries affording specialists may not be practical; ditto goes for smaller hospitals and care units. Pronovost’s studies show that checklists are good tools. Checklists are great stuff. I think what may extend the concept is go beyond checklists and work on the next actions based on the checklists more than ticking them off. Good reading. Wish this article could be a little shorter and to the point. You basically can skip the middle section where he talks about specialists. Worth a read. Learned a lot.
Annals of Medicine: The Checklist : The New Yorker