Atul Gawande

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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

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

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

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 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 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

When McKinsey Comes to Town: The Hidden Influence of the World's Most Powerful Consulting Firm

by Walt Bogdanich and Michael Forsythe  · 3 Oct 2022  · 689pp  · 134,457 words

class while diminishing the prospects of those aspiring to join it. In a review of the book Deaths of Despair and the Future of Capitalism, Atul Gawande wrote that the authors, two Princeton economists, explored a vexing question: why so many members of the working class without college degrees were dying from

Despair and the Future of Capitalism (Princeton, N.J.: Princeton University Press, 2020). GO TO NOTE REFERENCE IN TEXT “We all but load the weapons”: Atul Gawande, “The Blight: How Our Economy Has Created an Epidemic of Despair,” New Yorker, March 23, 2020. GO TO NOTE REFERENCE IN TEXT Healey was the

Black Box Thinking: Why Most People Never Learn From Their Mistakes--But Some Do

by Matthew Syed  · 3 Nov 2015  · 410pp  · 114,005 words

by U.S. national standards.29 The problem is not that the information doesn’t exist; rather, it is the way it is formatted. As Atul Gawande, a doctor and author, puts it: The reason . . . is not usually laziness or unwillingness. The reason is more often that the necessary knowledge has not

Hospitals by Peter Pronovost, Human Error by James Reason, Being Wrong by Kathryn Schultz, Adapt by Tim Harford, Antifragile by Nassim Nicholas Taleb, Complications by Atul Gawande, Mistakes Were Made (but Not by Me!) by Carol Tavris and Elliot Aronson, Uncontrolled by Jim Manzi, Teaming by Amy Edmondson, Where Good Ideas Come

-1/hearing-patient-safety. 12. Ibid. 13. “A Safer Place for Patients: Learning to Improve Patient Safety,” National Audit Office report, November 3, 2005. 14. Atul Gawande, Complications: A Surgeon’s Notes on an Imperfect Science (London: Profile, 2008). 15. http://www.who.int/classifications/help/icdfaq/en/. 16. CBS News story

Pronovost, Safe Patients, Smart Hospitals: How One Doctor’s Checklist Can Help Us Change Health Care from the Inside Out (New York: Plume,2004). 23. Atul Gawande, Complications. 24. The Francis Report: http://www.midstaffspublicinquiry.com/sites/default/files/report/Executive%20summary.pdf. 25. The Kirkup Report: https://www.gov.uk/government

., “The Health Care Singularity and the Age of Semantic Medicine” in The Fourth Paradigm: Data-Intensive Scientific Discovery (Microsoft, 2009). 29. Atul Gawande, The Checklist Manifesto: How to Get Things Right (London: Profile, 2010). 30. Atul Gawande, Complications. 31. http://www.nytimes.com/2009/05/26/health/26autopsy.html?pagewanted=all&_r=0. 32

. Atul Gawande, Complications. 33. http://www.pbs.org/wgbh/pages/frontline/criminal-justice/post-mortem/more-deaths-go-unchecked-as-autopsy-rate-falls-to-miserably-low-levels/.

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

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 Education of a Value Investor: My Transformative Quest for Wealth, Wisdom, and Enlightenment

by Guy Spier  · 8 Sep 2014  · 240pp  · 73,209 words

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

Thinking, Fast and Slow

by Daniel Kahneman  · 24 Oct 2011  · 654pp  · 191,864 words

The Outsiders: Eight Unconventional CEOs and Their Radically Rational Blueprint for Success

by William Thorndike  · 14 Sep 2012  · 330pp  · 59,335 words

Think Twice: Harnessing the Power of Counterintuition

by Michael J. Mauboussin  · 6 Nov 2012  · 256pp  · 60,620 words

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

Wait: The Art and Science of Delay

by Frank Partnoy  · 15 Jan 2012  · 342pp  · 94,762 words

The Paradox of Choice: Why More Is Less

by Barry Schwartz  · 1 Jan 2004  · 241pp  · 75,516 words

The Village Effect: How Face-To-Face Contact Can Make Us Healthier, Happier, and Smarter

by Susan Pinker  · 30 Sep 2013  · 404pp  · 124,705 words

The Great Mental Models: General Thinking Concepts

by Shane Parrish  · 22 Nov 2019  · 147pp  · 39,910 words

This Chair Rocks: A Manifiesto Against Ageism

by Ashton Applewhite  · 10 Feb 2016  · 312pp  · 84,421 words

Bezonomics: How Amazon Is Changing Our Lives and What the World's Best Companies Are Learning From It

by Brian Dumaine  · 11 May 2020  · 411pp  · 98,128 words

The Knowledge Machine: How Irrationality Created Modern Science

by Michael Strevens  · 12 Oct 2020

Reinventing Capitalism in the Age of Big Data

by Viktor Mayer-Schönberger and Thomas Ramge  · 27 Feb 2018  · 267pp  · 72,552 words

Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick

by Maya Dusenbery  · 6 Mar 2018  · 504pp  · 147,722 words

Uncontrolled Spread: Why COVID-19 Crushed Us and How We Can Defeat the Next Pandemic

by Scott Gottlieb  · 20 Sep 2021

Conflicted: How Productive Disagreements Lead to Better Outcomes

by Ian Leslie  · 23 Feb 2021  · 280pp  · 82,393 words

Misbehaving: The Making of Behavioral Economics

by Richard H. Thaler  · 10 May 2015  · 500pp  · 145,005 words

Work Rules!: Insights From Inside Google That Will Transform How You Live and Lead

by Laszlo Bock  · 31 Mar 2015  · 387pp  · 119,409 words

Where Does It Hurt?: An Entrepreneur's Guide to Fixing Health Care

by Jonathan Bush and Stephen Baker  · 14 May 2014  · 238pp  · 68,914 words

To Sell Is Human: The Surprising Truth About Moving Others

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It Doesn't Have to Be Crazy at Work

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The Slow Fix: Solve Problems, Work Smarter, and Live Better in a World Addicted to Speed

by Carl Honore  · 29 Jan 2013  · 266pp  · 87,411 words

The Norm Chronicles

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The New Trading for a Living: Psychology, Discipline, Trading Tools and Systems, Risk Control, Trade Management

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SuperFreakonomics

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The Joys of Compounding: The Passionate Pursuit of Lifelong Learning, Revised and Updated

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Messy: The Power of Disorder to Transform Our Lives

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Critical: Science and Stories From the Brink of Human Life

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More Than You Know: Finding Financial Wisdom in Unconventional Places (Updated and Expanded)

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The Glass Cage: Automation and Us

by Nicholas Carr  · 28 Sep 2014  · 308pp  · 84,713 words

Alpha Trader

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You Can't Make This Stuff Up: The Complete Guide to Writing Creative Nonfiction--From Memoir to Literary Journalism and Everything in Between

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Red-Blooded Risk: The Secret History of Wall Street

by Aaron Brown and Eric Kim  · 10 Oct 2011  · 483pp  · 141,836 words

How to Run a Government: So That Citizens Benefit and Taxpayers Don't Go Crazy

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Against Empathy: The Case for Rational Compassion

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Uncharted: How to Map the Future

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Discardia: More Life, Less Stuff

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Different: Escaping the Competitive Herd

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Data for the Public Good

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Free to Focus: A Total Productivity System to Achieve More by Doing Less

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The Laws of Medicine: Field Notes From an Uncertain Science

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Switch: How to Change Things When Change Is Hard

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Rebooting India: Realizing a Billion Aspirations

by Nandan Nilekani  · 4 Feb 2016  · 332pp  · 100,601 words

Randomistas: How Radical Researchers Changed Our World

by Andrew Leigh  · 14 Sep 2018  · 340pp  · 94,464 words

The 4-Hour Chef: The Simple Path to Cooking Like a Pro, Learning Anything, and Living the Good Life

by Timothy Ferriss  · 1 Jan 2012  · 1,007pp  · 181,911 words

Range: Why Generalists Triumph in a Specialized World

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Good Prose: The Art of Nonfiction

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The Social Animal: The Hidden Sources of Love, Character, and Achievement

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Trend Following: How Great Traders Make Millions in Up or Down Markets

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The Tyranny of Metrics

by Jerry Z. Muller  · 23 Jan 2018  · 204pp  · 53,261 words

Spite: The Upside of Your Dark Side

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Futureproof: 9 Rules for Humans in the Age of Automation

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The Empathy Exams: Essays

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AIQ: How People and Machines Are Smarter Together

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The Power of Habit: Why We Do What We Do in Life and Business

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The Cancer Chronicles: Unlocking Medicine's Deepest Mystery

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Do Nothing: How to Break Away From Overworking, Overdoing, and Underliving

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The Numbers Game: The Commonsense Guide to Understanding Numbers in the News,in Politics, and inLife

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Simple Rules: How to Thrive in a Complex World

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The New Sell and Sell Short: How to Take Profits, Cut Losses, and Benefit From Price Declines

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Travel While You Work: The Ultimate Guide to Running a Business From Anywhere

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The Health Gap: The Challenge of an Unequal World

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Team of Teams: New Rules of Engagement for a Complex World

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The Personal MBA: A World-Class Business Education in a Single Volume

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Everything Is Tuberculosis: The History and Persistence of Our Deadliest Infection

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The Jobs to Be Done Playbook: Align Your Markets, Organization, and Strategy Around Customer Needs

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Apollo's Arrow: The Profound and Enduring Impact of Coronavirus on the Way We Live

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The Black Box Society: The Secret Algorithms That Control Money and Information

by Frank Pasquale  · 17 Nov 2014  · 320pp  · 87,853 words

Why We Work

by Barry Schwartz  · 31 Aug 2015  · 86pp  · 27,453 words

The Patient Will See You Now: The Future of Medicine Is in Your Hands

by Eric Topol  · 6 Jan 2015  · 588pp  · 131,025 words

Rapt: Attention and the Focused Life

by Winifred Gallagher  · 9 Mar 2009  · 280pp  · 75,820 words

How Doctors Think

by Jerome Groopman  · 15 Jan 2007  · 292pp  · 94,324 words

Adventures in Human Being (Wellcome)

by Gavin Francis  · 28 Apr 2015  · 226pp  · 66,188 words

Private Empire: ExxonMobil and American Power

by Steve Coll  · 30 Apr 2012  · 944pp  · 243,883 words

The Connected Company

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Why Startups Fail: A New Roadmap for Entrepreneurial Success

by Tom Eisenmann  · 29 Mar 2021  · 387pp  · 106,753 words

You Say Tomato, I Say Shut Up

by Annabelle Gurwitch  · 31 Aug 2010  · 237pp  · 82,266 words

Lifespan: Why We Age—and Why We Don't Have To

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Chasing My Cure: A Doctor's Race to Turn Hope Into Action; A Memoir

by David Fajgenbaum  · 9 Sep 2019

Cockpit Confidential: Everything You Need to Know About Air Travel: Questions, Answers, and Reflections

by Patrick Smith  · 6 May 2013  · 309pp  · 100,573 words

The Purpose Economy: How Your Desire for Impact, Personal Growth and Community Is Changing the World

by Aaron Hurst  · 31 Aug 2013  · 209pp  · 63,649 words

Stress Test: Reflections on Financial Crises

by Timothy F. Geithner  · 11 May 2014  · 593pp  · 189,857 words

The Unpersuadables: Adventures With the Enemies of Science

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The Drunkard's Walk: How Randomness Rules Our Lives

by Leonard Mlodinow  · 12 May 2008  · 266pp  · 86,324 words

The Science of Fear: How the Culture of Fear Manipulates Your Brain

by Daniel Gardner  · 23 Jun 2009  · 542pp  · 132,010 words

The New Division of Labor: How Computers Are Creating the Next Job Market

by Frank Levy and Richard J. Murnane  · 11 Apr 2004  · 187pp  · 55,801 words

Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones

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The Intelligence Trap: Revolutionise Your Thinking and Make Wiser Decisions

by David Robson  · 7 Mar 2019  · 417pp  · 103,458 words

Code Dependent: Living in the Shadow of AI

by Madhumita Murgia  · 20 Mar 2024  · 336pp  · 91,806 words