Checklists Who needs a checklist? How can we improve ours?

Thoughts Provoked By:

SurgeonWorld Health

OrganizationStopping preventable

death and complications

October 30, 1935

Most experienced pilotMost advanced planeSafe demonstration of

the B-17 Bomber

Leads to This:

Most Industries Don’t Work Like Aviation

• Central discussion in the book is how a 19 point checklist was first tried in Hospitals Globally… in 2008.– Reduction in complications and unnecessary deaths was

substantial– Medical profession still has much to do on this front

• It’s not a new tool, software, or miracle drug – But it speeds work, saves costs, and saves lives

• It directly challenges our deeply held belief that training, experience matter…

Training and Experience Absolutely Matter

Construction Industry Figured This Out

End of the “Master Builder”

Two checklists on a project siteWhat to doWho to communicate

with

2 Sets of Checklists“…under conditions of true complexity—where the knowledge required exceeds that of any individual and unpredictability reigns—efforts to dictate every step from the center will fail. People need room to act and adapt. Yet they cannot succeed as isolated individuals, either…

“They supply a set of checks to ensure the stupid but critical stuff is not overlooked, and they supply another set of checks to ensure people talk and coordinate and accept responsibility while nonetheless being left the power to manage the nuances and unpredictabilities the best they know how.”

David Lee Roth (Van Halen) had a Checklist

THANK YOU!

Checklists forStupid but criticalCoordinate and accept responsibility

Questions?