#Checklist manifesto baking a cake software#
#Checklist manifesto baking a cake trial#

This chapter also introduces the concept of simple problems, complicated problems, and complex problems. Building complexity has grown so great that, to paraphrase the great Adam Smith, division of labor is the only way to productively produce. Peter’s Basilica, and the US Capitol building. Master Builders, in the building construction sense, designed, engineered, and oversaw construction of buildings such as Notre Dame, St. The moral of this chapter is apparently checklists are good. Over the course of 3 years it cut down the infection rate by 66% and saved an estimated 175 million dollars. It was then implemented in multiple Michigan state-run hospitals. This simple checklist prevented 43 possible infections and saved 8 lives.

#Checklist manifesto baking a cake trial#

After 12 months of testing the infection rate dropped from 11 percent to 0 percent, extending the trial to 22 months, they had only 2 line infections. Gawande tells of a 2001 John Hopkins ICU test where a simple 5-step checklist was implemented to help ward off line-infections. Referencing the IV line infection rates previously, Dr. Afterwards, during active duty service, this plane was flown more than 1.8 million miles without incident. Instead of requiring more training, the Air Force initiated a checklist for the basics.

During it’s debut flight, it crashed due to pilot error. This monumental “flying fortress” had 4 engines, twice the normal amount, and at the time was the most complex air plane ever flown. In 1935, the B17 was unveiled for the first time. Chapter 2: The ChecklistĬhapter two consists of multiple stories detailing failure due to complexity and the resulting success of using a checklist. To circumvent repeated failures, to alleviate trainee stress, we must look for ways to help ensure that every task that needs done is documented and to ensure that as tasks are completed they are documented.

#Checklist manifesto baking a cake software#

From the line-cook at a restaurant, to the Software Engineer writing a SaaS web app, the number of tasks that must be completed correctly for our jobs to be successful are increasing. Gawande is attempting to illustrate is that life is complex, his examples draw a sense of morbidity, but those are his experiences. If the imagery of a 3 y/o girl having her chest opened with a power saw doesn’t engage you, perhaps the statistics that nearly every America will visit an ICU, and that 4% of IV lines become infected after 10 days, and that 5-28% of the time that’s fatal. Gawande doesn’t think twice about the gruesome nature of his examples.

Well chapter one gets off with a blazing start and best read on an empty stomach. Chapter 1: The Problem Of Extreme Complexity For some of us these mistakes are trivial and not life-threatening, for others, not so benign.

The take-away here is that Atul realized that in spite of the massive amounts of information floating around in each of our heads, we make casual mistakes daily. Other gruesome medical mishaps are also mentioned, but I’ll save those for the reader.

As unlikely as it is to be stabbed by a bayonet this man nearly bled out internally because of a casual oversight. Only later do they find out that he was stabbed by a bayonet and ruptured the spinal aorta. The first anecdote involves a man brought into the ER for a stab wound, it appears shallow and the man is drunk and seemly without pain. Gawande as he’s known in the surgical circles, was discussing with another surgeon about non-routine haphazard in the operating room. Written by Atul Gawande in 2009, The Checklist Manifesto is one of those books that has been recommended to me from multiple sources, so at the insistence of a new colleague, I bumped it up my list.