Word: checklists
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...three wives and a bunch of nutter relatives out in the woods. The show works simultaneously as family-values-affirming drama and deadpan surrealist farce: Father Knows Best meets Twin Peaks. And its creators, Mark V. Olsen and Will Sheffer, seem to keep those shark-jumping events as a checklist of things...
...used ironically in the title. I do not advocate settling for somebody that you don't have passion and connection with. I'm saying he may be shorter than you imagined, he may be skinnier than you imagined, he may not meet every criterion on your checklist. That's what a lot of women consider settling. There was a study done that asked, If a guy had 80% of what you are looking for, would you marry him? And most women said no. A guy is a package deal, as are you. Many women throw out the guy because they...
...think most doctors would expect that? No. A lot of the reaction is, 'My God, another piece of paperwork? It's just a waste of time.' We had 20% in our surveys [of doctors who adopted the checklist in a study] that still felt it was a pain, a waste of time; they didn't want to use it. Of course, we asked them a follow-up question: If they were having an operation, would they want the checklist? And 94% of them...
Your focus is on checklists in surgery. Can checklists help a doctor working alone? I had a patient just the week before Christmas who had a tumor found in his abdomen. It was on multiple spinal X-rays he'd had, but they were just looking at the spine and they forgot to check the other images. It's a kind of basic mistake radiologists can make. But if you have a checklist, you make sure you've looked...
...mention that some doctors object on the grounds that checklists take too long. Do they? If they're badly designed. One of the fascinating things to me was going to visit Boeing's checklist factory, where they make over 100 checklists a year and design them in ways that pilots can actually use them in a time crush. They helped us design ours. We set a target that no step along the way would take more than 60 seconds and the whole process should be, in routine situations, under two minutes total. The Mayo Clinic adopted the checklist that...