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Atul Gawande: The Checklist Manifesto

January 7, 2010
Atul Gawande surgeon, writer

Surgeon and public health policy advocate Atul Gawande discusses his new book The Checklist Manifesto: How to Get Things Right.

We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the US Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple 90-second variant has cut the rate of fatalities by more than a third.

In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from homeland security to investment banking, skyscraper construction, and businesses of all kinds.

WGBH
Harvard Book Store
Image of The Checklist Manifesto: How to Get Things Right
Author: Atul Gawande
Publisher: Metropolitan Books (2009)
Binding: Hardcover, 224 pages
Image of Better: A Surgeon's Notes on Performance
Author: Atul Gawande
Publisher: Picador (2008)
Binding: Paperback, 288 pages
Image of Complications: A Surgeon's Notes on an Imperfect Science
Author: Atul Gawande
Publisher: Picador (2003)
Binding: Paperback, 288 pages
Image of The Best American Science Writing 2006
Author: Atul Gawande
Publisher: Harper Perennial (2006)
Binding: Paperback, 384 pages