The Checklist Manifesto

How to Get Things Right

Atul Gawande

Metropolitan Books

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The New York Times bestselling author of Better and Complications reveals the surprising power of the ordinary checklist

We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third.

In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds.

An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.

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Book Excerpts

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1. THE PROBLEM OF EXTREME COMPLEXITY

Some time ago I read a case report in the Annals of Thoracic Surgery. It was, in the dry prose of a medical journal article, the story of a nightmare. In a small Austrian town in the Alps, a mother and father had been out on a walk in the woods with their three- year-old daughter. The parents lost sight of the girl for a moment and that was all it took. She fell into an icy fishpond. The parents frantically jumped in after her. But she was lost beneath the surface for thirty minutes before they finally found her on the pond bottom.

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How to Perform the WHO Safe Surgery Checklist

Atul Gawande and his team demonstrate how to properly use the WHO Safe Surgery Checklist.

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How NOT to Perform the WHO Safe Surgery Checklist

Atul Gawande and his team demonstrate how NOT to use the WHO Safe Surgery Checklist.

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Better by Atul Gawande--Audiobook Excerpt

Listen to this audiobook excerpt from Atul Gawande's book The Checklist Manifesto: How to Get Things Right. The New York Times bestselling author of Better and Complications reveals the surprising power of the ordinary checklist. We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies--neither seems to prevent grievous errors.

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Reviews

Praise for The Checklist Manifesto

Praise for The Checklist Manifesto
 
"I read The Checklist Manifesto in one sitting yesterday, which is an amazing tribute to the book that Gawande has crafted. Not only is the book loaded with fascinating stories, but it honestly changed the way I think about the world. It is the best book I’ve read in ages."—Steven Levitt, author of Freakonomics
 
“Few medical writers working today can transmit the gore-drenched terror of an operation that suddenly goes wrong—a terror that has a special resonance when it is Dr. Gawande himself who makes the initial horrifying mistake. And few can make it as clear as he can what exactly is at stake in the effort to minimize calamities.”—The New York Times
 
"Even skeptical readers will find the evidence staggering. . . . Thoughtfully written and soundly defended, this book calls for medical professionals to improve patient care by adopting a basic, common-sense approach."—The Washington Post
 
"A persuasive champion of his cause."—The Economist
 
"The Checklist Manifesto is beautifully written, engaging, and convincingly makes the case for adopting checklists in medicine, a project to which Gawande has devoted significant time over the last several years. . . . It is in many ways the most personal of his books, a direct call to action to change the way health care is delivered through straightforward and simple, yet proven, means. It is a call that deserves to be heard and heeded."—Journal of the American Medical Association
 
"Gawande deftly weaves in examples of checklist successes in diverse fields like aviation and skyscraper construction. . . . Fascinating reading."—New York Times Book Review
 
"This is a brilliant book about an idea so simple it sounds dumb until you hear the case for it. Atul Gawande presents an argument so strong that I challenge anyone to go away from this book unconvinced."—The Seattle Times
 
“Fascinating . . . presents a convincing case that adopting more checklists will surely help.”—Bloomberg News
 
"Gawande argues convincingly and eloquently."—San Francisco Chronicle
 
"The scope goes well beyond medicine. . . Read this book and you might find yourself making checklists for the most mundane tasks—and be better off for it."—BusinessWeek
 
“A vivid, punchy exposition of an intriguing idea: that by-the-book routine trumps individual prowess.”—Publishers Weekly

“Maintains the balance between accessibility and precision. He manages to be vivid without being gruesome. . . . —The Guardian (UK)
 
“Riveting and thought-provoking.”—The Times (UK)
 
“Eye-popping. . . Gawande writes with vigor and clarity.”—New Haven Advocate
 
Praise for Better
 
“Gawande manages to capture medicine in all of its complex and chaotic glory, and to put it, still squirming with life, down on the page. With this book, Gawande inspires all of us, doctor or not, to be better.”
The New York Times Book Review
 
“Gawande is unassuming in every way, and yet his prose is infused with steadfast determination and hope. If society is the patient here, I can’t think of a better guy to have our back.”
The Boston Globe
 
Praise for Complications
 
“Remarkable . . . Brings to modern high-tech medicine the same clinical watchfulness that writers such as Williams and Sacks have brought to bear on the lives and emotions of often fragile patients.”
—Sherwin B. Nuland, The New York Review of Books
 
“Gawande is a writer with a scalpel pen and an X-ray eye. Diagnosis: riveting.”
Time
 

In the Press

Atul Gawande's 'Checklist' For Surgery Success : NPR
The surgeon and writer talks about the massively complicated process of keeping patients alive and shares his simple solution for how that process might be streamlined. Gawande's newest book is called The Checklist Manifesto.
- NPR

Top surgeon Atul Gawande urges doctors to use 'The Checklist' - USATODAY.com
Harvard Medical School's Atul Gawande has written a book about how a simple checklist -- much like the ones pilots use -- can save lives.
- USA Today


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About the Author

Atul Gawande

Atul Gawande is the author of Better and Complications, a National Book Award finalist. He is also a MacArthur Fellow, a general surgeon at the Brigham and Women's Hospital in Boston, a staff writer for The New Yorker, and an assistant professor at Harvard Medical School and the Harvard School of Public Health. He served as a senior health policy advisor in the Clinton presidential campaign and White House from 1992 to 1993. He received his B.A.S. from Stanford University, M.A. in politics, philosophy and economics from Oxford University, M.D. from Harvard Medical School, and M.P.H. from the Harvard School of Public Health. He lives with his wife and three children in Newton, Massachusetts.

Atul Gawande

Aubrey Calo, Harvard School of Public Health
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Available Formats and Book Details

The Checklist Manifesto
How to Get Things Right
Atul Gawande

Hardcover

Hardcover
Henry Holt and Co.
Metropolitan Books
December 2009
Hardcover
ISBN: 9780805091748
ISBN10: 0805091742
5 1/2 x 8 1/4 inches, 224 pages
$27.00

Unabridged Compact Disc

Unabridged  Compact Disc
Macmillan Audio
January 2010
Unabridged Compact Disc
ISBN: 9781427208989
ISBN10: 1427208980
5 7/8 x 5 1/8 inches, Audio Run Time: 6:30
$29.99

Unabridged Digital Audio

Unabridged  Digital Audio
Macmillan Audio
December 2009
Unabridged Digital Audio
ISBN: 9781427208996
ISBN10: 1427208999
Audio Run Time: 6:30
$17.99

Trade Paperback

Trade Paperback
Picador
January 2011
Trade Paperback
ISBN: 9780312430009
ISBN10: 0312430000
5 1/2 x 8.25 inches, 240 pages
$16.00

e-Book Agency

e-Book Agency
Henry Holt and Co.
Metropolitan Books
April 2010
e-Book Agency
ISBN: 9781429953382
ISBN10: 1429953381
224 pages
$9.99
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Metropolitan Books

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