Word: getful
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...have unraveled a staggering number of the body's secrets: to attack some 13,000 diagnoses, doctors now wield an arsenal of 6,000 drugs and 4,000 procedures. But surgeon and author Atul Gawande says the very vastness of our knowledge gets in the way: doctors make errors because they simply can't remember it all. The solution, he outlines in his new book, The Checklist Manifesto: How to Get Things Right, isn't fancier technology or more training. It's as simple as an old-fashioned checklist, like those used by pilots, restaurateurs and construction engineers. When...
...write that we're often reluctant to believe that something as banal-sounding as a checklist can get results and look for heroes - as we did in the "Miracle on the Hudson," for instance. We didn't want to believe that Sully [Captain Chesley Sullenberger] had computer systems helping guide the plane down or that his co-pilot was playing a crucial role. When I do an operation, it's half a dozen people. When it goes beautifully, it's like a symphony, with everybody playing their part. And then I go talk to the family and they say, 'Thank...
...that they have a responsibility to build a plan for that understanding. We don't prepare people for the idea that you really work in teams nowadays. [In medical school] you learn the physiology of the body. And then you learn the diagnoses and the treatments. You could get all of those first steps right and your patient will still die. Because you weren't able to get the radiologist and the nurse and the rest of your team working in sync. Who's going to teach that? We don't have the senior medical people who really understand...
...patient sit down together to make a decision about what they should do for care. We have not concentrated enough, in our thinking about reform, on that moment. What we want is care that is much better organized. We are going to need approaches like checklists to get rid of wasted care and to make sure we're taking the right steps forward. [The health care reform bills] don't have the answers. There was no bill that was going to have the answers. [But] I think the components are there...
There are plenty of reasons for Welmoed Sisson to lose weight. She'd feel better, be healthier and fit into that skirt she wore 20 years ago before she became obese. She knows all this, and yet there may be only one incentive powerful enough to get the 49-year-old resident of Gaithersburg, Md., to pass on the delicious steaks her husband cooks. The motivator? Cold, hard cash...