[HN Gopher] A Life-Saving Checklist (2007)
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       A Life-Saving Checklist (2007)
        
       Author : Tomte
       Score  : 44 points
       Date   : 2024-12-23 15:53 UTC (7 hours ago)
        
 (HTM) web link (www.newyorker.com)
 (TXT) w3m dump (www.newyorker.com)
        
       | k310 wrote:
       | Archived. https://archive.is/0H188
       | 
       | Atul Gawande is the author of several books, the most familiar
       | being "The Checklist Manifesto"
        
       | Brajeshwar wrote:
       | Honestly, his book, The Checklist Manifesto, could have been a
       | long-ish article like this one. I still love the book as one of
       | the best to get things done. And I re-read the book quite
       | often.[1] I love checklists, either written down or in my mind
       | for most events, either at work or in life.
       | 
       | One of my most abused pieces of advice to professionals and teams
       | is to make checklists. This has even spilled into my family. I
       | get my daughters, The Anxious Generation, to create checklists.
       | 
       | 1. https://brajeshwar.com/2024/the-checklist-manifesto/
        
         | Tomte wrote:
         | What do you mean? This is exactly that article. It's
         | substantially the same as the book. Why should he write a
         | second mostly identical article?
        
           | stronglikedan wrote:
           | > Why should he write a second mostly identical article?
           | 
           | That's not being suggested. What _is_ being suggested is that
           | the book could have been condensed into a mere article to
           | begin with.
        
             | Tomte wrote:
             | That is the article! The same author, the same subject.
             | What else do you want?
        
               | cushychicken wrote:
               | The article became a book. The comment is suggesting that
               | the expansion was not an improvement.
        
       | AnonC wrote:
       | I'm a huge fan of checklists and annotating/updating them with
       | more information (when, what, observations, etc.). I see a lot of
       | value with checklists in managing the complexity and in making
       | sure that something doesn't just slip by. Even if I know several
       | steps from memory, I'd still want a documented list to
       | reduce/remove human error. After all, we may not have our best
       | skills with us at all times and in all situations.
       | 
       | Unfortunately, the people I work with aren't that interested in
       | creating checklists or keeping the ones I create updated. But I
       | trudge along hoping that sometime in the future they may get some
       | value from it.
        
         | Enginerrrd wrote:
         | I have pretty bad ADHD. It comes and goes over cycles with a
         | frequency measured in weeks/months.
         | 
         | When I'm doing poorly, I have a hard time functioning as an
         | adult. So, I use checklists and phone reminders a lot, even for
         | simple things. I use them to start the day with things like:
         | 
         | -make coffee.
         | 
         | -check calendar for schedule
         | 
         | - block out time / add reminders as needed for the day
         | 
         | -plan morning (I have a list of mandatory and optional morning
         | activities, along with the time it takes to do them)
         | 
         | - pack lunch.
         | 
         | - take meds.
         | 
         | -pack for work: (laptop, id badge, work phone, headphones,
         | sunglasses, phone charger/cables)
         | 
         | - make breakfast for kids (along with a recurring reminder to
         | start this by 06:45)
         | 
         | -wake up kids (reminders at 07:00)
         | 
         | Etc, etc. You get the idea.
         | 
         | I can't make my brain remember to do basic activities, and I
         | naturally vary my routine, and at the same time I really
         | struggle to remember to do things unusual to my routine. But I
         | can use my engineering side to work the problem. When my brain
         | is performing poorly, these checklists are essential.
        
           | jamiek88 wrote:
           | I'm exactly the same. When we have the phone on CarPlay my
           | wife will smile at the reminders that pop up.
           | 
           | 'Brush teeth'
           | 
           | 'Drink water'
           | 
           | 'Take vitamin d'
           | 
           | 'Feed dogs'
           | 
           | And I'm basically helpless without the reminders at the bad
           | times.
           | 
           | My severe adhd is cyclical too.
        
             | bratwurst3000 wrote:
             | i need to do this. may i ask which app you are using and
             | how you set the reminders so that you see them regularly?
        
               | Ma8ee wrote:
               | I'm not the one you asked, but I rely heavily on the
               | Apple's Reminders app.
        
       | MarlonPro wrote:
       | This reminds me to re-read The Checklist Manifesto by Atul
       | Gawande.
        
         | samatman wrote:
         | Why do that, when you could read the New Yorker article, _A
         | Life-Saving Checklist_ , by Atul Gawande?
        
       | cfraenkel wrote:
       | Checklists are great! Until TPTB decide everything should be a
       | checklist, and then that everyone needs to be trained to the
       | checklist and no more than that, and then start punishing any
       | deviation from said checklists, and the all the newbies go 'why
       | should I learn all this technical stuff, it's not needed for the
       | checklist?'.
       | 
       | And then something changes and no one knows how to do anything
       | but follow the checklist that doesn't work anymore....
        
         | dragonsky wrote:
         | I think this highlights the most important bit that is missing
         | from most checklists... the why.
         | 
         | Yes we have a list of things to do, and we know that if we
         | don't do all those things then bad things can happen, but the
         | most important thing is to know why we are doing those
         | things... Because when bad things start to happen despite
         | following the list, you need to know why you are doing those
         | things so that you have some hope of making it better.
        
         | cushychicken wrote:
         | A few jobs ago, one of the managers of my division read _The
         | Checklist Manifesto_ and decided everyone needed to read and
         | did the Jerry Maguire move of buying everyone a copy to read.
         | 
         | It kind of worked the way you described. Everyone kind of
         | stopped thinking and just became checklist apes.
         | 
         | It wasn't until a few years later that I realized a major
         | factor about checklists the book mentioned, but that management
         | conveniently ignored: _the checklist must only be one page_.
         | Any longer and people ignore it.
         | 
         | Critical step that our management ignored. They just saw it as
         | a big, never ending, ever growing list of rules. Which isn't
         | the right way to think about it.
        
           | gowld wrote:
           | https://www.checkmateaviation.com/ seems to agree, but they
           | pack a lot into a 3-column checklist, where most items are
           | just a few keywords.
        
       | levocardia wrote:
       | The book version of this article (The Checklist Manifesto)
       | completely revolutionized how I did experimental science in
       | graduate school. Early on, I saw many experiments ruined by human
       | error: machine settings were incorrect, sensors not switched on,
       | equipment not calibrated, incorrect instructions given to the
       | subject, etc.
       | 
       | I was mortified by how little attention most professors and
       | students paid to this problem. Something like half the data
       | collections I was helping on (as a lowly first-year PhD) had some
       | problem with the data collection.
       | 
       | I read The Checklist Manifesto and used it to design my own
       | checklist -- and crucially, checklist procedure -- for my data
       | collections and it made a huge difference. Not only did I collect
       | much better data, but I was able to do much more sophisticated
       | multi-step experiments without making mistakes.
       | 
       | The biggest takeaway for me was that checklists are not a piece
       | of paper; they're a system. It's not enough for the surgeon to
       | have a checklist, they'll just glance at it and think "oh of
       | course I did these things". They only work when the nurse reads
       | the checklist, item by item, aloud to the surgeon (I later
       | realized this is exactly what SpaceX and NASA are doing during
       | launch countdowns). Additionally, the checklist itself needs to
       | be iterated on many times, removing unhelpful items and adding
       | things you miss. And the checklist MUST be one page, no more.
       | 
       | If I ran an experimental lab of any kind, the book would be
       | mandatory reading.
        
         | kortilla wrote:
         | SpaceX and NASA countdowns aren't quite checklists in the same
         | sense of the surgeon's or pilot's checklist.
         | 
         | Those countdowns are verifying that a bunch of launch blocking
         | gates have not been closed. The key difference is that it's not
         | a reminder for people of stuff that needs to be done. It's more
         | like a roll call to make sure they have a unanimous vote to go
         | from all teams that have a stake.
        
       | pjbster wrote:
       | I have 3 kids and have been to visit A&E countless times over the
       | years. I always note the hand written checklists stuck up in the
       | walls of Triage and wonder how many of these were derived through
       | trial and error and which were introduced by more experienced
       | medics.
       | 
       | For some reason the fact that they've obviously been produced
       | locally gives me more confidence that they've done the hard
       | yards; professionally printed ones would instead make me think
       | they're only up there because management wanted to raise
       | awareness.
        
       | julianeon wrote:
       | I have this theory that a lot of best advice is very plain and
       | boring, very repetitive, and so we need various stratagems to
       | somehow overcome that, to present it to our minds in such a way
       | that they can focus on it again. "Make checklists" may be the
       | best example of this.
        
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