Book Review: ‘The Checklist Manifesto’ by Atul Gawande

The Checklist Manifesto How to Get Things Right by Atul Gawande

My rating: 5 of 5 stars


What if you heard, one day, of a simple and straightforward ‘secret’ that could halve your chances of complications after surgery, dramatically improve air travel safety even if disaster struck, and after all that make sure your order in a swanky restaurant was brought faultlessly to your table?

You’d want to be in on it, wouldn’t you?

Until, perhaps, you found out the nature of this ‘secret’.

It is no more nor less than a straightforward checklist: a written-down list of essential steps in any process – steps which may, in the heat of emergency or the lethargy of long hours, otherwise be inadvertently skipped.

Simple, right?

Er – no. Things can go horribly wrong – and in this case they did!

Who begins the process of reeling-off the items to be checked? How, if they’re not the Boss, do they command the attention of everybody present? And what effect does all this have upon the said Boss’s authority? The checklist in the workplace, we discover, has a social element as well as the obvious physical one.

In his quest for the perfect, universal checklist for surgical operations, Gawande and his team from the World Health Organisation draw from the expertise of everyone from nurses in rural Tanzanian hospitals struggling with unreliable supplies of the very basics, to Chesley Sullenberger.

But doesn’t the sheer simplicity and mundanity – banality even – of a checklist reduce every job to a mechanical routine? And make of every working person, no matter how knowledgeable or prestigious, a mindless drone? This was the wall Atul Gawande and his researchers came up against, when putting their findings to surgeons and doctors all over the world. How they overcame this, and achieved the results they did, is the best and most fascinating part of the tale.

The Checklist Manifesto is, above all, a story of human progress. It is sympathetically and enthusiastically told – parts of it read like a novel of suspense, complete with exotic locations and personality clashes. Though written ten years ago now, it has something to say to all of us.

Put it on your checklist of ‘things to read’!




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