Most Helpful Customer Reviews
|
|
21 of 23 people found the following review helpful:
5.0 out of 5 stars
A defence of rational, systems-thinking approach to handling complex problems, 1 Feb 2010
This review is from: The Checklist Manifesto: How To Get Things Right (Hardcover)
Atul Gawande's The Checklist Manifesto: How To Get Things Right has come close on the heels of Umberto Eco's The Infinity of Lists. Both are about lists and both admit to the ability of lists to bring about order and control. Both books attracted me because I am a consummate checklist-maker. Despite my prejudicial preference for lists and reading about lists, it is a credit to the quality of Atul Gawande's writing that the book kept me absorbed for the 3 hours it took to read all 193 pages of it.
The author proposes "checklists" as a functional tool to deal with the limitations of human knowledge and the possibility of making mistakes in the face of complex problems. Using stories from construction management, airline piloting and disaster management, and surgery, he shows how checklists can be used to break down complex tasks into simpler steps, thus helping prevent expensive mistakes. The author delves further into two kinds of lists (Do-Confirm or Read-Do) using a story from how the airline manufacturing industry writes their "user manuals".
Early on, he points out that checklists are not some silver bullet, and that there is judgement involved. Some situations may benefit from checklists, while others may not need any. Later in the book, he also admits that to many, lists are protocols and embody rigidity. He then proceeds to illustrate why this needn't be so and to demonstrate the importance of team work and how checklists enable that discipline, especially in disasters.
I found Chapters 7 and 8 most fascinating. The stories told so far describe the complexity of the work/ task itself but these two chapters introduce another layer, that of institutional complexity.
Chapter 7 details the WHO sponsored study to examine if checklists made any difference to safety, infections, post-surgery deaths in 8 quite disparate hospitals around the world. The results, from using the checklist, regarding reduction in technical problems, complications, infections and deaths were encouraging, for all cultural settings and even allowing for the Hawthorne Effect.
In Chapter 8, much mainstream media coverage of Jan 2009's "Miracle on the Hudson River" is debunked while the author tells the story of the pilots Sullenberger and Stiles and their calm use of appropriate procedures, while their cabin crew prepared passengers for and then monitored safe evacuation, to strengthen his thesis. The other half of Chapter 8 particularly resonated with me because I work with investors and entrepreneurs. I was fascinated by the stories of the 3 investors who have incorporated checklists into their investment decisions, favouring dispassionate analysis over irrational exuberance, so to speak.
The title is deceptively simple for this is a profound book, written accessibly and clearly. It is a defence of rational, systems-thinking approach to solving complex problems, to creating team work and collegiality amongst narrow specialists while ensuring desirable outcomes, no matter what the setting. Managers, entrepreneurs, investors as well as professional project managers such as event planners would do well to read, ponder and practise the idea proposed by the book.
Help other customers find the most helpful reviews
Was this review helpful to you?
|
|
|
|
|
|
3 of 3 people found the following review helpful:
5.0 out of 5 stars
The highly thoughtful Gawande, is a treasure, 18 April 2010
This review is from: The Checklist Manifesto: How To Get Things Right (Hardcover)
Atual Gawande is an American-raised indian Born surgeon practicing in Boston and he is also a writer for the New Yorker
he has written 3 books, all three of them excellent. Complications his first is a revelation, better his middle one I enjoyed less, and this third one, the Checklist, is spellbindingly good
Gawande is no mere doctor he was also a Rhodes Scholar (i.e seriously bright) earning a PPE in Oxford England in the late 90s.
To me, it seems that this is the secret to his appeal, he is a seriously intelligent and gifted academic, who later turned to the practical art of surgery. So he is very well rounded. The central feature of his writing is to convey to the layperson that there are no easy choices, no bravura macho surgeons who can reliably fix everything. He is searingly honest about the shortcomings of medecine and his own shortcomings in particular, relaying again and again over all three books where he has screwed up, often very badly. These accounts read very well as fair accounts of how difficult it is to actually do any significant surgery on anyone without killing them, or making them iller. He is neither too harsh nor seeking to exculpate himself. He starts with the premise that (nearly) all doctors want to help, but that medecine can be horribly complicated and difficult, that they make mistakes and they are sometimes out of their depth, and that they are all learning on the job.
What is magnificent about checklists is that, you'd think there wouldn't be much to say about them, that could hold your interest for very long. In this you'd be seriously wrong. it turns out that our prejudicial views on checklists (we don't like them and find them patronising) is in inverse proportion to how useful they are regardless of your levels of commitment to excellence, ingenuity or sheer brilliance. In the heat of an emergency many of the things that go wrong are EXACTLY the kinds of things that simple checklists can help you spot when your mind skips steps to focus on what you think is essential.
in this book, Gawande focusses on the usefulness of checklists in medecine, commercial flying, architecture/engineering and finance and he does a masterful writerly job of keeping you engaged and enlgightened as he slowly builds a very compelling case for dropping the prejudice and adopting the checklist in more and more areas of life.
One fascinating aside to me, is that the going through a checklist with other people (say before operating) was no mere mechanical procedure, but that it had a 'activating effect' of equalising the status and hierarchy of all concerned, suddenly you were no longer just some nurse or mere technician in awe of the surgeon. In fact, taking responsibility for your own part of the checklist made you a vital member of a team, and it was this team building spirit that made people work better together, think better and most importantly handle disasters with far greater focus as they knew each other and didn't waste time on blame or evasion. Much more commonly checklists even prevented disasters because since everyone felt part of a team, the junior members were not so intimidated into not pointing out errors which could later develop into disasters. It's a list on a piece of paper, but adhering to it in this public and collegiate way, had a profound impact on the psychology of the practitioners solidifying their sense of being part of a team and therefore being steadfast in calling things as they saw them, rather than simply deferring to authority and keeping quiet (a frequent cause of all types of disasters).
Gawande is a good friend of Malcolm Gladwell, but he is no mere wannabe, Gawande has his own unique authorial voice and he comes across as a genuinely likeable, clever decent and highly sophisticated but down to earth human being. He is such a good writer that not least of his skills is how funny he sometimes is when he points out the absurdities of human foibles (especially his own) and of taking on any ambitious human endeavour. He is no pious preacher.
Help other customers find the most helpful reviews
Was this review helpful to you?
|
|
|
|
|
|
9 of 10 people found the following review helpful:
3.0 out of 5 stars
One, very good, idea., 20 Feb 2010
Like most books of its genre the Checklist manifesto has a great idea, which if we all adopted would make a real diference to our lives. However, there is only so many ways you can say the same thing so the book is extremely repetitive and too long and therefore boring. Don't forget however the idea, which is brilliant, so I think you just have to accept that being bored for a bit will be worthwhile. The CD helped me as I could work at the same time as listening.
Help other customers find the most helpful reviews
Was this review helpful to you?
|
|
|
|
|
|
Most Recent Customer Reviews
|