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“Good checklists are precise. They are efficient, to the point, and easy to use even in the most difficult situations. Good checklists are, above all, practical.”
- Atul Gawande
Ignorance
A partial understanding of the world and how it works
In the 1950’s, heart patients were put on bed rest for weeks in order to avoid strain to heart
Ineptitude
Knowledge exists yet we fail to apply it correctly
In 2007, 72% of patients underwent coronary interventions within 90 minutes while in 2011 it increased to 94%
http://www.aha.org/research/reports/tw/12oct-tw-quality.pdf
Benefits of ChecklistsEnsures consistency
Used to reduce failure
Aids in memory and
Informational aidCompleteness when
attention
carrying out a task
Source: US Dept. of Energyhttp://www1.eere.energy.gov/femp/pdfs/OM_5.pdf
can extend equipment life
Implementing a preventive maintenance checklist by 25%
ExplicitDocumentation Procedures Checklists and Inventory
TrainingConcept MappingContractors, Part-time
ImplicitMentoring/CoachingJob SharingSimulator TrainingStorytellingAfter-Action ReviewsCommunities of Practice
employees, and Retirees
http://www.state.sc.us/dio/KnowledgeTransfer.htm
Source: Levine & Gilbert, CA at Berkleyhttp://www.irle.berkeley.edu/cohre/knowledge.html
a companyWhen an employee leaves
70%walks out the door with himof his knowledge
Knowledge transfer is only valuable when it is integrated into a set of policies for knowledge generation and captureSource: Levine & Gilbert, CA at Berkleyhttp://www.irle.berkeley.edu/cohre/knowledge.html
“Checklists provide protection against failures. They remind us of the minimum necessary steps and make them explicit.”
- Atul Gawande
“Just ticking boxes is not the ultimate goal. Embracing a culture of teamwork and discipline is.” -Atul Gawande
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