Le livre est agréable à lire. Certes les récits d'opérations qui auraient pu mal tournées peut lasser quelqu'un comme moi qui n'est pas chirurgien dans l'âme. Néanmoins, le livre mérite le détour lorsqu'il abord le pourquoi utiliser checklist : ne pas sauter une étape cruciale alors qu'on sait par coeur ce qu'il faut faire et parce qu'on le fait très régulièrement, sauf que cette fois justement, on va trop vite...mais aussi comment construire une checklist en repartant de la source : les checklists des constructeurs d'avion.
Il montre que la checklist permet de gérer sous un stress intense, situation dans laquelle on pourrait perdre tous ses moyens. Il donne des exemples intéressants de l'utilité de la checklist en situation d'urgence. Il donne des variantes de checklist qui sont très intéressantes. La partie la plus intéressante et convaincante est celle sur la construction d'une checklist en salle d'opération pour réduire les complications post opératoires quel que soit l'endroit dans le monde de la clinique hyper sophistiquée aux USA à l'hôpital de brousse sans aucuns moyens en Afrique.
Certes tout le monde a déjà utilisé une checklist sous la forme d'une liste de courses. Mais cette ouvrage, sans être révolutionnaire permet de réfléchir à l'essence, la bonne utilisation et construction d'une checklist. Il montre aussi comment une checklist peut être utilisée pour renforcer l'esprit d'équipe.
Two CDs into this audio book I gave up because I did not enjoy listening to the excruciating details of why some medical diagnosis, surgery or treatment went wrong because somebody forgot one step in a protocol. I thought It would address general business issues. It seems to me that it was advertized as such. My mistake?
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414 internautes sur 433 ont trouvé ce commentaire utile
Game Changing...23 décembre 2009
- Publié sur Amazon.com
Amazon's December Book of the Month summary describes the author's mission of revolutionizing the "to-do list...without programmatic steps or tables to help reshuffle daily tasks." One may infer from this recap that this is a how-to-self-improvement book for making one more productive, more efficient and less stressed - this couldn't be farther from the core message of this book.
The author's key message is that the volume and complexity of knowledge today has exceeded any single individual's ability to manage it consistently without error despite material advances in technology, boatloads of more training and super-specialization of functions and responsibilities. Yet, despite demonstrating that checklists produce results, there is resistance to their use because of the (1) Master of Universe mentality (Rock Star; Fighter Pilot; Hero), (2) our jobs are too complex to reduce to a checklist, (3) checklists are too rigid and don't force us to look up and see and think ahead of what's in front of us. Yet, in a complex environment, he states that experts are up against 2 difficulties - the fallibility of human memory when it comes to mundane, routine matters that are easily overlooked under the strain of more pressing events and secondly, people can lull themselves into skipping steps even when they remember them - after all certain steps don't always matter...until one day they do. Gawande makes a persuasive case in his book as to why you should develop and implement a process checklist for critical processes/decisions.
* Whether you are from the medical field or not, you will benefit from the inspiring thinking and insights.
* This book is game changing - a call-to-action for generating better results despite the pull to run with intuition or gut instinct. If you are implementing via intuition rather than a systematic process, this book's message will force you to pause in your tracks to seek a more disciplined approach.
* The author uses a wide range of industries to make his case using an engaging blend of anecdotes, storytelling and research - from healthcare to aviation (US Airways 1549 landing in Hudson River) - - to high-end award winning restaurants - - to building massive office skyscrapers and shopping centers - -to setting up a Van Halen rock concert - - to FEMA's response to Hurricane Katrina in New Orleans - - to money managers making investment selections.
* Can be read in 1-2 sittings. Page Turner. Fully engaging and riveting until the last page is turned.
* Author's determination, authenticity, inspired thinking, modesty and willingness to disclose personal mistakes makes this an inspirational book. Both brilliantly written and a pleasure to read.
My favorite excerpts:
"Despite showing (hospital) staff members of the benefits of using the checklist, 20% resisted stating that it was not easy to use, it took too long and felt it had not improved the safety of care. Yet, when asked an additional question - would you want the checklist to be used if you were having an operation - a full 93% said yes."
"In a world in which success now requires large enterprises, teams of clinicians, high-risk technologies, and knowledge that outstrips any one person's abilities, individual autonomy hardly seems the ideal we should aim for. ..what is needed, however is discipline...discipline is hard - harder than trustworthiness and skill and perhaps even than selflessness. We are by nature flawed and inconstant creatures. We can't even keep from snacking between meals. We are built for novelty and excitement, not for careful attention to detail. Discipline is something we have to work at."
"We don't study routine failures...when we look closely, we recognize the same balls being dropped over and over, even by those of great ability and determination. We know the patterns. We see the costs. It's time to try something else. Try a checklist."
"We're obsessed in medicine with having great components, the best drugs, the best devices, the best specialists - but pay little attention to how to make them fit together well""
"It somehow feels beneath us to use a checklist, an embarrassment. It runs counter to deeply held beliefs about how the truly great among us - those we aspire to be - handle situations of high stakes and complexity. The truly great are daring. They improvise. They do not have protocols and checklists. Maybe our idea of heroism needs updating."
269 internautes sur 298 ont trouvé ce commentaire utile
Why read the book when the article will do?!7 février 2010
- Publié sur Amazon.com
Dr. Gawande acknowledges that this book grew out of his December 10, 2007 New Yorker article, "The Checklist". I suspect that, for many readers, it would be a better use of their time and money to read the article (which is available online) rather than the book. Although the book, like Dr. Gawande's previous books, is well-written, the author's essential conclusions could easily be summarized in one page (and have been in several reviews).
109 internautes sur 121 ont trouvé ce commentaire utile
The simple checklist23 décembre 2009
- Publié sur Amazon.com
I work in a hospital as an intensive care nurse. We have been working on a multitude of projects to improve patient safety and outcomes. And in the midst of all the technology and knowledge and training, it is the simple thing--a checklist. Having a husband who is a private pilot and works for the FAA, I have heard about checklists for years. This book shows how pilots use checklists to avert disaster and save lives. It explains how the people who build complex buildings use checklists to plan the construction but also communicate and correct the changes and errors. And it gives a multitude of examples in medicine to show how checklists work and what happens when they aren't used. It is a fascinating, quick and easy read. And it will have you thinking very differently about checklists and safety, whether in the air, a building or a hospital.
140 internautes sur 163 ont trouvé ce commentaire utile
OK, but no methods18 janvier 2010
- Publié sur Amazon.com
The Checklist Manifesto is a good book if you require convincing that checklists are a good thing. Or if you like to read a quasi-novel on how checklists can be useful. If you already believe in checklists then you may be bored with 193 pages espousing their virtue. You will not find anything at all on how to construct a checklist, or methods to keep them current amid ever-changing procedures and technological advances. Well written, but not particularly practical.
37 internautes sur 41 ont trouvé ce commentaire utile
10 Highlights of This Book24 janvier 2010
- Publié sur Amazon.com
I looked over the other reviews of this interesting book, and there are many of them that you will find very useful--so I'll just try to list some highlights. As Dr. Gawande points out, a checklist can't be too long (people won't use it), yet it must succinctly cover the most essential considerations of the situation at hand. Although what follows isn't a checklist, I'll try to focus on the most essential characteristics of Dr. Gawande's book:
First, this is an easy-to-read, engaging book. I'll bet that you will find it hard to put down. It is interesting enough to make you want to read the book and serious enough to deliver important messages.
Second, the value of using checklists springs directly from the complexity of modern life, whether we're talking about surgery (the author is a surgeon), flying an airplane or building a skyscraper. By the way, in reading this book I have developed a newfound appreciation of how complex the construction business can be.
Third, checklists are not just for simple, straightforward tasks. Checklists help people communicate and work together better, especially when the unexpected occurs.
Fourth, checklists are important regardless of the time available. Indeed, when the cockpit crew of US Airways flight 1549 lost both engines over New York City, they had only three minutes of airtime remaining. The first thing they did was to get out their checklists. (You can read Captain Sully Sullenberger's excellent book for more details.)
Fifth, checklist usage has saved numerous lives, including one of Dr. Gawande's patients. His candor in discussing that episode is laudable.
Sixth, humans being human, mistakes will inevitably occur. Checklist usage is important when the potential cost of human mistakes is great.
Seventh, the mere act of creating a checklist focuses the mind on the most important characteristics of our tasks.
Eighth, like anything else, it takes practice to produce and use checklists effectively.
Ninth, practice comes from commitment and personal discipline. Indeed, one of the most important things Sully Sullenberger did was to maintain his composure and discipline, even while the gravity of his situation must have been racing through his mind.
Tenth, as I read this book, my mind frequently reflected on how a checklist approach could be applied in some of the business and academic practices that I am familiar with. That's the real beauty of this book--it gets the reader thinking about ways to improve life.