Analyze checklist manifesto9/20/2023 ![]() As a surgeon, I empathize with the master builder. Gawande describes, the three-dimensional drawings of the plumbing pipes, and the heating/ventilation/air conditioning and electrical systems, and to witness the computer-based coordination of the procurement and timely delivery of voluminous materials necessary for the complex services of the various trades as they erect large structures. As a technogeek, I yearn to see the control room Dr. The building trades have come to the realization that the complexity of building projects, such as the construction of skyscrapers, exceeds the capacity of a master builder to execute without multiple checklists and frequent communication with all involved parties (chapter 4, The End of the Master Builder). Gawande points out that although checklists augment memory and attention, they cannot replace mastery of a profession or practice experience. ![]() Gawande, “the volume and complexity of what we know has exceeded our individual ability to deliver its benefits correctly, safely, or reliably.” Medical checklists offer an alternative, nontraditional strategy to overcome the failures of the healthcare system and to reduce the consequent complications and avoidable deaths. To the chagrin of all healthcare providers, failures have remained an all-too-frequent occurrence despite our healthcare educational system having produced providers with exceptional expertise in all disciplines. He lays the groundwork for the rationale for checklist use in any complex endeavor, whether banking, building skyscrapers, churning out large numbers of complex gourmet dishes in a restaurant, flying aircraft, or operating on patients. Gawande introduces a challenge that resonates with all healthcare providers. What patient or healthcare provider doesn't want to get things done right in the delivery of health care? In the first chapter, The Problem of Extreme Complexity, Dr. Gawande has produced a work with a premise that has the appeal of apple pie and motherhood. Wearing his nonfiction book author and New Yorker staff writer hats, Dr.
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