Atul Gawande is a medical superstar – a surgeon at Harvard who’s also a New Yorker magazine writer, and the author of several books. His latest push is for doctors to use checklists to prevent common mistakes during surgery. A scary percentage of the time, it turns out, things grow overwhelmingly complicated in an operating room and a nurse or an anesthesiologist, or a resident (or whoever) gets distracted and forgets to do something basic – like confirm there’s extra blood in the fridge, or plug that little hose into the machine that keeps you breathing.
It happens. People forget things. Best to err on the safe side, and use a checklist.
The idea comes from aircraft pilots. It turns out they use checklists for absolutely everything – a pilot literally can’t step into a plane without a checklist. Pre-take-off, take-off, pre-landing, landing, and every possible contingency that might happen in-between is assigned a checklist. That’s because when you’re a pilot and you forget something, well…it can be a problem. Kind of like a surgeon.
Or a lawyer.
This isn’t exactly a new idea. The first thing I received at Sullivan & Cromwell when I arrived there was a checklist – and my first task was to start ticking off items. That’s how you handle a corporate deal closing – otherwise you’d never keep track of all the officer’s certificates and securities certificates and side agreements and various other bits of paper required for that six hundred million dollar acquisition of the rubber plant in Brazil (or whatever.) If you’re the junior associate and you forget something that needs to be on a closing table, well… it can be a problem.
But there’s another surprising finding in Gawande’s new book, “The Checklist Manifesto.” One required item on pilots’ checklists simply instructs them to stop and introduce themselves. During that process, they explain their responsibilities to one another, including any pertinent details regarding that specific flight. It sounds like this: