![]() Going through a checklist at the beginning of a multi-faceted process empowers a process for every professional to ask the right questions at the right time, and to identify and address concerns. It is a communication tool, which connects members of the interdisciplinary team to each other and to their complex task at hand. The checklist is not just an administrative process to be imposed on unwitting staff. His assertions are not easy assumptions, however, that a simple checklist solves all problems. He discusses his role with the World Health Organization trying to implement and study the impact of surgical checklists around the world, including at St. Improvement of a healthcare system is indeed a science, and this author relates data and lessons learned from the airline and architecture industries, where slight errors may cost many lives. A well-read author in the USA, Gawande vividly teases out what we can learn from the realities of healthcare and how to decrease the risk of mistakes that could be made, and are made, at every level. Professional discipline, experience, knowledge and practice are put to the test with every patient encounter. ![]() Every day people like us go to work hoping to make people better. As a researcher, and surgeon, Gawande relates the science of making healthcare better and suggests that predictable processes (well-honed checklists) can be applied to prevent the most uncertain of possible errors. These aren't grandiose musings – but actually the most pertinent. He describes how even the best of clinicians in the best of organisations can make a small assumption and care is compromised – or ask a small question and a mistake is narrowly averted. ![]() From the opening page of the first chapter, entitled ‘ The problem of extreme complexity,’ it is clear that Atul Gawande does not take lightly the problem of improving healthcare.
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