Category Archives: Atul Gawande

‘The checklist manifesto’

By Atul Gawande published by Profile Books
By Atul Gawande published by Profile Books

I’ve always made lists – topics to discuss lists, lecture lists, shopping lists, to-do lists, what to take on holiday lists, ingredients for a cake lists, every type of list you can imagine.
Atul Gawande’s The Checklist Manifesto charts the course of an attempt to introduce an Aviation            Pilot-type checklist into major surgery.  The results show that in hospitals from the richest, best equipped in the USA to the poorest in Africa and India, the use of a checklist before commencing major surgery saves lives and reduces complications. But there was resistance to their introduction, as there is resistance to the use of checklists in other fields.
For me, one of the most interesting aspects was the requirement to get all those involved to feel themselves a team, with input from the lowliest member. I suspect that most of us  introduce checklists top down. With more import from the most junior member of the team maybe we could have done much better – at home, in our John Dobbie toyshops, in our dental practice and in the pathology departments where I worked.