![]() So some rules of thumb are laid out to help ensure your checklists are as easy as possible. Knowing each others' names resulted in greater job satisfaction and teamwork like giving permission to speak. If a checklist is difficult to use, people won’t use it. ![]() Checklist institutionalized introductions of people to each other. Gawande describes a concept in psychology called the "activation phenomenon" – where giving people a chance to say something at the start of a procedure seems to activate their sense of participation and responsibility and their willingness to speak up. Gawande points to the largest pay for performance medical trial where gains have only been modest 2-4 percent – “expensive, incremental and of limited benefit.” Checklists can be used to force people to talk to each other a strategy to foster teamwo rk. Incentives, however, ma y not be practical. Atul Gawande is the author of several bestselling books: Complications, a finalist for the National Book Award Better The Checklist Manifesto, and Being Mortal. They didn’t force anyone to use the checklist but started by gathering data of infections, having insurers pay small bonuses for participation at first, through the “Keystone Initiative” also required senior hospital executive participation and involvement and gave responsibility for checklist to least powerful people in process (the nurses). Gawande discusses a study using a basic checklist to prevent central line infections – checklists, he notes, established higher standard of baseline performa nce. Atul Gawande is author of several best-selling books, including Complications: A Surgeons Notes on an Imperfect Science, Better: A Surgeons Notes on Performance, Being Mortal: Medicine and What Matters in the End and The Checklist Manifesto. Implementing checklists can also be a behavior change vehicle. They offer possibility of verification bu t also instill discipline of higher performance. In The Checklist Manifesto, Boston surgeon Atul Gawande contends the reason is that knowledge and complexity in many fields have exceeded the capacity of any individual to get everything right. Checklists can help with memory recall and clearly set out minimum steps necessary in a process.
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