The Checklist Manifesto: How to Get Things Right

Este é um daqueles livros que abordam de forma direta um assunto prático e com alto potencial de execução e transformação de resultados. O checklist é uma ferramenta, e até uma metodologia, extremamente simples e eficaz, se bem utilizada. Para mim valeu muito a leitura e partir imediatamente para uma implementação aprimorada.

Greta book that help me with getting the things right!

Même si l'ouvrage utilise des exemples de la médécine, cet ouvrage est parfaitement adapté à l'automatisation de business, notamment la création des procédures.Je ne peux que le recommander !!! Merci encore à l'auteur pour cette découverte simple, mais Oo combien indispensable !

The Checklist Manifesto – How To Get Things Right.Atul has picked up and analyzed real life examples from different fields like : medicine, Aviation, Construction, Cooking, Finance, and proved that Checklists do work, especially in fields like Medicine, Aviation where a single small mistake proves fatal to a group.In my opinion Making and following Checklist brings down your error rate substantially down.Atul beautifully explains that how routine matters gets overlooked easily, under the strain of more pressing events. Atul being in medical profession cites few examples to make the reader understand that.Checklists can make you disciplined and by following it, you can get higher performance, and at the same time it provides protection against failures.Atul also advices about making good checklists, one which should be precise, efficient, up to the point, easy to use in difficult situations, focusing on killer items and lastly it should be practical. He further says that checklists should be updated from time to time depending on the circumstances and results.In flights when a pilot faces a catastrophe, they are astonishingly willing to turn to their checklists, instead of relying on their skill, years of experience.Coming to investment world, making and following a check lists saves you a ton of money. Especially in financial world greed and fear forces you to make wrong decisions even though you are skilled, smart, knowledgeable and experienced. For example, the partners of LTCM ( Long Term Capital Management -hedge fund in 1997) were Harvard, MIT Graduates, a couple of partners were Nobel Laureates. In fact LTCM’s team was called as the most elite and brilliant team in the world of investments, but they eventually failed because they were not able to assess their risks properly. Had they a checklist in place they would not have risked their position by using excessive leverage.In short this is not a book typically on medical, investment, construction or aviation, but it’s a book which can help anyone in his life, profession etc. This book helps you to minimize your mistakes and in turn maximize your successes in any area of your life.Excellent book and must read for anyone.

Atul Gawande has succinctly described the usage of checklists in different scenarios and how they help cope with the complexities in different areas involved in our day to day lives. Starting with Aviation which has pioneered the concept of a checklist as far back as the early twentieth century to help fly the then complex fighter aircraft B17 which was nicknamed the "flying fortress". A disaster, resulting from a pilot error due to a missed procedural step, on the first flight, led to the origination of a checklist. Since then all pilots, starting from the lowest 2 seater aircraft to the lofty space shuttle, are trained to use checklists to start an engine, taxi, take off, cruise, land, shut off the engine, and deal with any emergency encountered.Chefs at famous restaurants routinely use recipes, which are a form of a checklist, to get the dish consistently right each time. It does not mean that a checklist is a static piece engraved in stone. It can be updated to reflect improvements. Gawande describes the crash of a British Airways Boeing 777 flight in January 2008. Flying over the North pole from Beijing into London, both of its engines lost power and crashed just a couple of miles short of the runway. The cause was speculated to be formation of ice crystals in the fuel lines. A recommendation was made to reduce the power for a few seconds in such cases, instead of increasing it, to reduce fuel and ice crystals in the fuel lines. This gives a chance for the heat exchanger to kick in and melt the ice crystals. The improved check list saved the day later that year for a Delta Airlines polar flight from Shanghai to Atlanta. Ice crystals formed in the Boeing 777 fuel lines while flying over Montana. The pilots reduced the power for a while and then increased it to recover the engines.Checklists are used in cases where a lot of specialists are involved in executing numerous steps correctly to create an end product. An example is the construction industry. Master builders had built the famous buildings in the past like the Notre Dame and the US Capitol. Contemporary skyscrapers are so complex and involve so many specialities that the master builder has become an extinct specie. Better co-ordination and tracking thru checklists are the hallmarks of the construction industry which has become pretty efficient.I was surprised to read Gawande mention that health care professionals do not use a checklist to deal with thousands of different procedures. Since I come from an Information Technology background, where checklists are commonly used, though not as often as in Aviation, I was ground in the checklist tradition arising out of my passion for flying small planes. By the same token, it is not surprising given that thehealth care field scores very low in the usage of Information Technology. Much of the records are paper based which contribute to low productivity, human errors, and high costs.The crux of the book is the documentation by Gawande of an important case study undertaken for WHO to introduce the usage of a checklist in surgeries across 8 different hospitals in different parts of the world. In all the cases, there was significant improvement in the quality of the surgical procedures, drastic reduction in human errors and the resulting fatalities. The most common problem before the introduction of the checklist was the infection of lines in Intensive Care Units. Infections also resulted from doctors not washing their hands periodically, although this has been emphasized more than 150 years ago by Dr. Ignaz Semmelweis. Gawande wrote extensively about this problem in his earlier book "Better". This case study led to the acceptance of checklists by the hospitals.This book concludes with the idea that checklists are making inroads into hospitals and are significantly bettering the outcomes of thousands of medical procedures performed every day.