The Checklist Manifesto: Difference between revisions
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🚪 '''2 – Crossing the threshold, 1967–1979.''' Moving from idea to implementation, the World Health Organization’s 19‑item Surgical Safety Checklist was piloted in eight hospitals worldwide and, in a New England Journal of Medicine study, reduced major complications from 11.0% to 7.0% and deaths from 1.5% to 0.8%. The checklist sequences three pause points—Sign In before anesthesia, Time Out before incision, and Sign Out before the patient leaves the operating room—prompting brief introductions, confirmation of identity/site/procedure, and checks of critical risks and equipment. The practical lesson is that results follow culture: adapt the wording locally, keep the list tight, empower any team member to call the pause, and measure outcomes so the habit sticks.
🏗️ '''3 – The end of the master builder.''' Using the Russia Wharf building as a working lab, structural engineer Joe Salvia of McNamara/Salvia shows how the “master builder” model gave way to interdependent teams coordinated by checklists and engineering “forcing functions.” Site supervisor O’Sullivan runs a live submittal schedule—a communication checklist that specifies who must talk to whom, by when, and about what—while digital clash detection and tools like ProjectCenter flag conflicts and trigger the next checks. ''The checklists work.''
💡 '''4 – The idea.''' From Hurricane Katrina’s command‑and‑control failures to Wal‑Mart’s decentralized logistics, and from NFL sideline coordinators and Van Halen’s brown‑M&M clause to chef Jody Adams’s Rialto kitchen, diverse domains converge on a single principle: simple checklists plus empowered teams beat top‑down control in complex work. The pattern is disciplined pause points and information handoffs that preserve expert judgment while making performance reliable and repeatable. ''There seemed no field or profession where checklists might not help.''
🧪 '''5 – The first try.'''
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