These tendencies are very problematic when skipping one step in all-or-none processes such as baking a cake, landing an airplane takeoff, or evaluating a sick patient.
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Similarly, significant parts of software engineering, finance, law enforcement, legal work, and medicine have become too complicated. The Army ended up ordering almost 13,000 B-17 aircraft, which utilizing a checklist, have flown over a million miles with no incident.
In response, a few test pilots created a simple checklist for pilots to use at critical stages in flight. In-flight, the Boeing aircraft crashed due to “pilot error” and was deemed too complicated to fly. The Boeing aircraft seemed superior with a larger payload, faster speed, and longer range. Photo by Abigail Keenan on Unsplash 1935, the US Army Air Corps held a flight competition to win a contract for a new long-range bomber. In the Checklist Manifesto, Gawande asks the question, “What do you do when expertise is not enough?” The Checklist However, there is still an unacceptably large amount of avoidable failures. One needs to have an undergraduate degree, medical degree, and years of residency training. This complexity has pushed individuals in the medical field to specialize more and more with many years of training. However, doctors have to choose between about 6,000 drugs and 4,000 procedures with different specifications, risks, and considerations for any given situation. If a cure does not exist, then there is a way to mitigate the damage and impact on the body. For most of them, science has found treatments to heal the body. Thus, medicine has become extremely complex and difficult to master by humans. In the ninth edition of the World Health Organization’s international classification of diseases, there are now greater than 13,000 different diseases, syndromes, and injuries.
Nowadays, treatments vary depending on multiple therapies, the patient’s condition, and the organ systems affected. Most diseases have required more specific and intricate treatments, even those once simply treated with Penicillin. The past century has had many amazing discoveries that have led to more specialization in health care. However, the medical realm did not become simpler. Penicillin was effective against several once untreatable infections. This health care innovation seemed like a simple treatment that would cure many illnesses or injuries. In 1928, Alexander Fleming discovered Penicillin. Gawande also examines the role of checklists in the aviation and construction industry and presents the case for them to be implemented in other sectors. He helped the World Health Organization implement a safe surgery checklist to reduce complications and deaths from surgical operations globally. Gawande describes his story of using a checklist to improve the medical field.
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Already, a simple surgical checklist from the World Health Organization designed by following the ideas described here has been adopted in more than twenty countries as a standard for care and has been heralded as the biggest clinical invention in thirty years ( The Independent).Amazon: The Checklist Manifesto: How to Get Things Right And the insights are making a difference. In riveting stories, he reveals what checklists can do, what they can't, and how they could bring about striking improvements in a variety of fields, from medicine and disaster recovery to professions and businesses of all kinds. Atul Gawande makes a compelling argument that we can do better, using the simplest of methods: the checklist. We train longer, specialize more, use ever-advancing technologies, and still we fail. And the reason is simple: the volume and complexity of knowledge today has exceeded our ability as individuals to properly deliver it to people-consistently, correctly, safely. Yet avoidable failures continue to plague us in health care, government, the law, the financial industry-in almost every realm of organized activity. The modern world has given us stupendous know-how. A New York Times Bestseller In latest bestseller, Atul Gawande shows what the simple idea of the checklist reveals about the complexity of our lives and how we can deal with it.
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