Atul Gawande

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Being Mortal: Medicine and What Matters in the End

by Atul Gawande  · 6 Oct 2014  · 270pp  · 85,450 words

Fall Apart 3 • Dependence 4 • Assistance 5 • A Better Life 6 • Letting Go 7 • Hard Conversations 8 • Courage Epilogue Notes on Sources Acknowledgements Also by Atul Gawande About the Author Copyright I see it now—this world is swiftly passing. —the warrior Karna, in the Mahabharata They come to rest at any

’s dedication is the reason this book says what I wanted it to say. And that is why it is dedicated to her. Also by Atul Gawande Complications: A Surgeon’s Notes on an Imperfect Science Better: A Surgeon’s Notes on Performance The Checklist Manifesto: How to Get Things Right About

the Author ATUL GAWANDE is the author of three bestselling books: Complications, a finalist for the National Book Award; Better, selected by Amazon.com as one of the ten

Lifebox, a nonprofit organization making surgery safer globally. He and his wife have three children and live in Newton, Massachusetts. BEING MORTAL. Copyright © 2014 by Atul Gawande. All rights reserved. For information, address Henry Holt and Co., 175 Fifth Avenue, New York, N.Y. 10010. www.henryholt.com Cover design by Nate

@macmillan.com. The Library of Congress has cataloged the print edition as follows: Gawande, Atul, author. Being mortal : medicine and what matters in the end / Atul Gawande. — First edition. p. ; cm. Includes bibliographical references. ISBN 978-0-8050-9515-9 (hardcover)—ISBN 978-1-62779-055-0 (electronic book) I. Title. [DNLM

The Checklist Manifesto: How to Get Things Right

by Atul Gawande  · 2 Jan 2009  · 182pp  · 56,961 words

: A SURGEON’S NOTES ON PERFORMANCE COMPLICATIONS: A SURGEON’S NOTES ON AN IMPERFECT SCIENCE THE CHECKLIST MANIFESTO ATUL GAWANDE THE CHECKLIST MANIFESTO: HOW TO GET THINGS RIGHT METROPOLITAN BOOKS HENRY HOLT AND COMPANY NEW YORK Metropolitan Books Henry Holt and Company, LLC Publishers since

Fifth Avenue New York, New York 10010 www.henryholt.com Metropolitan Books® and ® are registered trademarks of Henry Holt and Company, LLC. Copyright © 2009 by Atul Gawande All rights reserved. Distributed in Canada by H. B. Fenn and Company Ltd. Some material in this book originally appeared in the New Yorker essay

most explicitly. Before starting an operation with a new team, there was a check to ensure everyone introduced themselves by name and role: “I’m Atul Gawande, the attending surgeon”; “I’m Jay Powers, the circulating nurse”; “I’m Zhi Xiong, the anesthesiologist”—that sort of thing. It felt kind of hokey

medical student—I had worked with only two before, and I knew only the resident well. But as we went around the room introducing ourselves—“Atul Gawande, surgeon.” “Rich Bafford, surgery resident.” “Sue Marchand, nurse”—you could feel the room snapping to attention. We confirmed the patient’s name on his ID

for my work, to share in it, and to remind me that it is not everything. My thanks to them are boundless. ABOUT THE AUTHOR Atul Gawande is the author of Better and Complications. A MacArthur Fellow, a general and endocrine surgeon at the Brigham and Women’s Hospital in Boston, a

Better: A Surgeon's Notes on Performance

by Atul Gawande  · 2 Apr 2007

PERFORMANCE AFTERWORD: SUGGESTIONS FOR BECOMING A POSITIVE DEVIANT NOTES ON SOURCES ACKNOWLEDGMENTS ABOUT THE AUTHOR ALSO BY ATUL GAWANDE Complications: A Surgeon's Notes on an Imperfect Science Better Better * * * A SURGEON'S NOTES ON PERFORMANCE * * * Atul Gawande Metropolitan Books Henry Holt and Company New York Metropolitan Books Henry Holt and Company, LLC Publishers

York, New York 10010 www.henryholt.com Metropolitan Books(r) and (r) are registered trademarks of Henry Holt and Company, LLC. Copyright (c) 2007 by Atul Gawande All rights reserved. Distributed in Canada by H. B. Fenn and Company Ltd. Several of these chapters have appeared, in different form, in The New

Yorker and The New England Journal of Medicine Library of Congress Cataloging-in-Publication Data Gawande, Atul. Better : a surgeon's notes on performance / Atul Gawande.--1st ed. p. cm. ISBN-13: 978-0-8050-8211-1 ISBN-10: 0-8050-8211-5 1. Gawande, Atul. 2. Internal medicine--Case studies

book. They gave me permission to try to tell their stories, and that is the most generous and vital gift of all. About the Author ATUL GAWANDE, a 2006 MacArthur Fellow, is a general surgeon at the Brigham and Women's Hospital in Boston, a staff writer for The New Yorker, an

Quantitative Value: A Practitioner's Guide to Automating Intelligent Investment and Eliminating Behavioral Errors

by Wesley R. Gray and Tobias E. Carlisle  · 29 Nov 2012  · 263pp  · 75,455 words

break a necessarily complicated process into manageable pieces that can be repeated without errors and with a high success ratio. The Case for a Checklist Atul Gawande, a surgeon and professor of surgery at Harvard Medical School, wrote an article in 2007 for The New Yorker magazine called “The Checklist,”15. in

Cost a Lot Over the Long Term.” Perspectives, Morningstar, January 16, 2012; http://news.morningstar.com/articlenet/SubmissionsArticle.aspx?submissionid=134195.xml&part=2. 15. Atul Gawande, “The Checklist.” The New Yorker, Annals of Medicine (December 10, 2007); www.newyorker.com/reporting/2007/12/10/071210fa_fact_gawande?currentPage=2. 16

. Atul Gawande, The Checklist Manifesto: How to Get Things Right (New York: Metropolitan Books, 2009). PART TWO Margin of Safety—How to Avoid a Permanent Loss of

and the low-quality portfolio. OUR FINAL QUANTITATIVE VALUE CHECKLIST In Chapter 2, we sought to make the case for employing an investment checklist using Atul Gawande's intensive care analogy. Recall that Peter Pronovost, the intensivist at Johns Hopkins Hospital who pushed so hard for the widespread adoption of checklists, drew

The Future of the Professions: How Technology Will Transform the Work of Human Experts

by Richard Susskind and Daniel Susskind  · 24 Aug 2015  · 742pp  · 137,937 words

high degree of autonomy in their practice, and a license to determine who shall assume the mantle of professional authority.35 For physicians and surgeons, Atul Gawande, a surgeon and a writer, captures the bargain more memorably: The public has granted us extraordinary and exclusive dispensation to administer drugs to people, even

William Kirby (eds.), Prospects for the Professions in China (2011), 1. 35 Schön, Educating the Reflective Practitioner, 7, where he is citing Everett Hughes. 36 Atul Gawande, Better (2007), 148. 37 Everett Hughes, ‘The Study of Occupations’, in Sociology Today, Vol. II, ed. Robert Merton, Leonard Broom, and Leonard Cottrell (1959), 449

a vast scale, enabling physicians to build on the insights of others. While standard protocols and procedures are also invoked daily, the medical profession, as Atul Gawande has shown, expresses considerable ambivalence towards the use of simple checklists, even if their efficacy is well established.4 With the advent of the Internet

Health, 25 Mar. 2013 <https://www.gov.uk/government/policies/improving-quality-of-life-for-people-with-long-term-conditions> (accessed 6 March 2015). 4 Atul Gawande, The Checklist Manifesto (2010). 5 The OECD estimates that per capita visits to US doctors is 4 per annum (a 2010 figure). If US population

documents, algorithms, online services, or the like. Routinizing is not just possible and desirable in some disciplines, it is necessary. According to author and surgeon Atul Gawande, ‘[s]ubstantial parts of what … lawyers, and most certainly clinicians do are now too complex for them to carry out reliably from memory alone’.18

law of the USA. 16 See e.g. Glasgow Herald, 18 Nov.1985, p. 15. 17 <http://www.ey.com> (accessed 23 March 2015). 18 Atul Gawande, The Checklist Manifesto (2010), 34. 19 Gawande, The Checklist Manifesto, 36. 20 See Yochai Benkler, The Wealth of Networks—How Social Production Transforms Markets and

driven solely, or even mainly, by a passion to cut costs. A more fundamental force has been at play here, well captured by the surgeon Atul Gawande, in his book The Checklist Manifesto: Here, then, is our situation at the start of the 21st century: We have accumulated stupendous know-how. We

of the model laid out in Richard Susskind, The End of Lawyers? (2008), ch. 2. 8 See previous reference in Ch. 2, n. 252. 9 Atul Gawande, The Checklist Manifesto (2010), 13. 10 Gawande, The Checklist Manifesto, 19. 11 See e.g. James Boyle, The Public Domain (2010). 12 Lawrence Lessig, The

The Success Equation: Untangling Skill and Luck in Business, Sports, and Investing

by Michael J. Mauboussin  · 14 Jul 2012  · 299pp  · 92,782 words

. A strong link between cause and effect is essential, of course, and when it is difficult to get quality feedback, deliberate practice is less effective. Atul Gawande is a surgeon at Brigham and Women's Hospital in Boston, a staff writer for The New Yorker magazine, and an associate professor at Harvard

central line catheters and thereby saved hundreds of millions of dollars and thousands of lives, more than “any laboratory scientist in the past decade,” as Atul Gawande wrote in The New Yorker.20 A checklist is a series of steps that must be carried out accurately and on time. Where cause and

to try the new approach. Within a year, the rate of infection dropped nearly to zero.21 Pronovost's work on checklists was noticed by Atul Gawande, eventually prompting him to write a book called The Checklist Manifesto. In the book, Gawande looks at the use of checklists in various fields and

. Krampe, and Clemens Tesch-Römer, “The Role of Deliberate Practice in Acquisition of Expert Performance,” Psychological Review 100, no. 3 (July 1993): 363–406. 13. Atul Gawande, “Personal Best: Top Athletes and Singers Have Coaches. Should You?” The New Yorker, October 3, 2011. 14. Guillermo Campitelli and Fernand Gobet, “Deliberate Practice: Necessary

of Success (New York: Random House, 2006). 19. Daniel H. Pink, Drive: The Surprising Truth About What Motivates Us (New York: Riverhead Books, 2009). 20. Atul Gawande, “The Checklist: If Something So Simple Can Transform Intensive Care, What Else Can It Do?” The New Yorker, December 10, 2007. 21. Peter Pronovost, MD

Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out (New York: Hudson Street Books, 2010). 22. Atul Gawande, The Checklist Manifesto: How to Get Things Right (New York: Metropolitan Books, 2009), 114–135. 23. Daniel Boorman, “Safety Benefits of Electronic Checklists: An Analysis

of Medical Checklists for Improved Quality of Patient Care,” International Journal for Quality in Health Care 20, no. 1 (December 11): 2007, 22–30. 15. Atul Gawande, MD, MPH, et al., “A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population,” New England Journal of Medicine 360, no. 5

The Unusual Billionaires

by Saurabh Mukherjea  · 16 Aug 2016

, The Intelligent Investor (1949) ‘The volume and complexity of what we know has exceeded our individual ability to deliver its benefits correctly, safely, or reliably.’ —Atul Gawande, The Checklist Manifesto: How to Get Things Right (2009) As analysts, my community is trained to comprehensively and objectively analyse a company and provide a

, to make this book more useful for you (beyond the value of the Coffee Can construct), I have prepared a checklist which is inspired by Atul Gawande, the famous American surgeon, writer and public health researcher. Writing about checklists in his 2007 column28 for the New Yorker, Gawande spoke of how line

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age

by Robert Wachter  · 7 Apr 2015  · 309pp  · 114,984 words

tale. This is the real story of what it’s like to practice medicine in the midst of a painful, historic, and often dangerous transition.” —Atul Gawande author of Being Mortal and The Checklist Manifesto “As scientific breakthroughs and information technology transform the practice of medicine, Bob Wachter is one of the

the physicians.” Chapter 10 David and Goliath There is a science in what we do, yes, but also habit, intuition, and sometimes plain old guessing. —Atul Gawande, Complications: A Surgeon’s Notes on an Imperfect Science When IBM announced that Watson’s first post-Jeopardy focus would be healthcare, the media immediately

on the complexity of the problem, my instincts tell me that Khosla might not quite get it. In The Checklist Manifesto, the author and surgeon Atul Gawande recounted a study that vividly illustrates this complexity. In a single year, the trauma centers in the state of Pennsylvania saw 41,000 patients, who

much of the book while on sabbatical at the Harvard School of Public Health, and am grateful to my colleagues there, particularly Ashish Jha and Atul Gawande, for their help and support. My luckiest break of all was meeting and marrying Katie Hafner. She is a brilliant writer and editor—with a

surgeon A. Gawande, The Checklist Manifesto: How to Get Things Right (New York: Metropolitan Books, 2009). 122 Gawande described the findings to me Interview of Atul Gawande by the author, July 28, 2014. 122 Mark Smith recalled his experience Interview of Smith by the author, July 24, 2014. Chapter 12: The Error

Smarter Faster Better: The Secrets of Being Productive in Life and Business

by Charles Duhigg  · 8 Mar 2016  · 401pp  · 119,488 words

advice—I sent a note to an author I admired, a friend of one of my colleagues at the Times. The author’s name was Atul Gawande, and he appeared to be a paragon of success. He was a forty-six-year-old staff writer at a prestigious magazine, as well as

to succeed with less stress and struggle. It’s about getting things done without sacrificing everything we care about along the way. By this definition, Atul Gawande seemed to have things pretty well figured out. A few days later, he responded to my email with his regrets. “I wish I could help

. He filled in the space with his name. APPENDIX A Reader’s Guide to Using These Ideas A few months after I reached out to Atul Gawande—the author and physician from the introduction who helped spark my interest in the science of productivity—I began reporting this book. For almost two

Tools of Titans: The Tactics, Routines, and Habits of Billionaires, Icons, and World-Class Performers

by Timothy Ferriss  · 6 Dec 2016  · 669pp  · 210,153 words

are often seemingly out of left field (e.g., books → startups). Checklists Ramit and I are both obsessed with checklists and love a book by Atul Gawande titled The Checklist Manifesto. I have this book on a shelf in my living room, cover out, as a constant reminder

. Atul Gawande is also one of Malcolm Gladwell’s (page 572) favorite innovators. Ramit builds checklists for as many business processes as possible, which he organizes using

Rand (4) Sapiens by Yuval Noah Harari (4) Siddhartha by Hermann Hesse (4) The 4-Hour Workweek by Tim Ferriss (4) The Checklist Manifesto by Atul Gawande (4) Dune by Frank Herbert (3) Influence by Robert Cialdini (3) Stumbling on Happiness by Daniel Gilbert (3) Superintelligence by Nick Bostrom (3) Surely You

Russia House; The Spy Who Came in from the Cold (John le Carré), The Big Short: Inside the Doomsday Machine (Michael Lewis), The Checklist Manifesto (Atul Gawande), all of Lee Child’s books Godin, Seth: Makers; Little Brother (Cory Doctorow), Understanding Comics (Scott McCloud), Snow Crash; The Diamond Age (Neal Stephenson), Dune

Art of Stress-Free Productivity (David Allen), The 7 Habits of Highly Effective People: Powerful Lessons in Personal Change (Stephen R. Covey), The Checklist Manifesto (Atul Gawande) McGonigal, Jane: Finite and Infinite Games (James Carse), Suffering Is Optional (Cheri Huber), The Willpower Instinct (Kelly McGonigal), The Grasshopper: Games, Life, and Utopia (Bernard

Oroc) Poliquin, Charles: The ONE Thing (Gary Keller and Jay Papasan), 59 Seconds: Change Your Life in Under a Minute (Richard Wiseman), The Checklist Manifesto (Atul Gawande), Bad Science (Ben Goldacre), Life 101: Everything We Wish We Had Learned about Life in School—But Didn’t (Peter McWilliams) Popova, Maria: Still Writing

a Time (Keith Ferrazzi), What They Don’t Teach You at Harvard Business School (Mark H. McCormack), Iacocca: An Autobiography (Lee Iacocca), The Checklist Manifesto (Atul Gawande) Shinoda, Mike: Becoming a Category of One: How Extraordinary Companies Transcend Commodity and Defy Comparison (Joe Calloway), The Tipping Point; Blink (Malcolm Gladwell), Learning Not

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