Comments on: The Power of Lists http://www.bookishdark.com/2007/12/the-power-of-lists/ She is too fond of books, and it has turned her brain. Sat, 14 Jan 2012 22:31:04 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: kaizerin http://www.bookishdark.com/2007/12/the-power-of-lists/comment-page-1/#comment-2347 kaizerin Wed, 12 Dec 2007 17:01:14 +0000 http://www.bookishdark.com/?p=169#comment-2347 What I took from the article, Bear, is that in the course of these high-pressure, life-or-death situations, the medicos are improvising brilliantly, but then undercutting their work by forgetting the basics. They're not thinking "Did I cover basic hygiene?" while they're inventing crazy new ways to revive people, such that even when the new procedure succeeds, something as simple as line infection comes along and takes out the patient anyway. It's really hard to be simultaneously persnickety about details AND creative/imaginative. That's why we don't brainstorm and build project plans in the same session. We can focus on the trees, or the forest, not both at once. So what the checklist does is help the surgeon cover the routine details without dis-engaging the creative, "How'm I gonna save this guy?" part of the brain. What I took from the article, Bear, is that in the course of these high-pressure, life-or-death situations, the medicos are improvising brilliantly, but then undercutting their work by forgetting the basics. They’re not thinking “Did I cover basic hygiene?” while they’re inventing crazy new ways to revive people, such that even when the new procedure succeeds, something as simple as line infection comes along and takes out the patient anyway.

It’s really hard to be simultaneously persnickety about details AND creative/imaginative. That’s why we don’t brainstorm and build project plans in the same session. We can focus on the trees, or the forest, not both at once. So what the checklist does is help the surgeon cover the routine details without dis-engaging the creative, “How’m I gonna save this guy?” part of the brain.

]]> By: CAS http://www.bookishdark.com/2007/12/the-power-of-lists/comment-page-1/#comment-2346 CAS Wed, 12 Dec 2007 08:24:05 +0000 http://www.bookishdark.com/?p=169#comment-2346 With a view from the nursing side: The moments that Life Flight lands or the doors to the ambulance bay open have been some of the most terrifying of my life. After that moment, you either go onto auto-pilot and follow your script and apply logic to the curve balls. ACLS and Code checklists were a staple for me- but you always had to allow for improv. Simple things like someones weight, what they had taken, the mechanism of injury, etc- all came together to often form unique challenges. Checklists can get you there, but I would still maintain that it about expereience. With a view from the nursing side: The moments that Life Flight lands or the doors to the ambulance bay open have been some of the most terrifying of my life. After that moment, you either go onto auto-pilot and follow your script and apply logic to the curve balls. ACLS and Code checklists were a staple for me- but you always had to allow for improv. Simple things like someones weight, what they had taken, the mechanism of injury, etc- all came together to often form unique challenges. Checklists can get you there, but I would still maintain that it about expereience.

]]> By: modhran http://www.bookishdark.com/2007/12/the-power-of-lists/comment-page-1/#comment-2341 modhran Tue, 11 Dec 2007 22:57:42 +0000 http://www.bookishdark.com/?p=169#comment-2341 The article was very interesting. It made me think that if we were ever to have National health care that they might be able to institute a checklist system nationwide, it'd be medicine by numbers, but if it works, so much the better. The article was very interesting. It made me think that if we were ever to have National health care that they might be able to institute a checklist system nationwide, it’d be medicine by numbers, but if it works, so much the better.

]]> By: kaizerin http://www.bookishdark.com/2007/12/the-power-of-lists/comment-page-1/#comment-2340 kaizerin Tue, 11 Dec 2007 19:52:40 +0000 http://www.bookishdark.com/?p=169#comment-2340 Ooh, who needs TV Guide when you've got paranormal TV-scheduling abilities? :-) I LOVE the movie of CCF; it may be time for me to rewatch it, too. I saw the news about G. Anderson/J. Austen on Masterpiece and thought, "Good TV coming in the Spring--woo!" I should set a series recording for it. With any luck, they'll re-air Bleak House before the new series starts up--I still haven't seen it. Ooh, who needs TV Guide when you’ve got paranormal TV-scheduling abilities? :-) I LOVE the movie of CCF; it may be time for me to rewatch it, too.

I saw the news about G. Anderson/J. Austen on Masterpiece and thought, “Good TV coming in the Spring–woo!” I should set a series recording for it. With any luck, they’ll re-air Bleak House before the new series starts up–I still haven’t seen it.

]]> By: Ramona http://www.bookishdark.com/2007/12/the-power-of-lists/comment-page-1/#comment-2339 Ramona Tue, 11 Dec 2007 19:27:22 +0000 http://www.bookishdark.com/?p=169#comment-2339 I'll put reading about lists on my list. Maybe it will make me a believer in lists. In the meantime something I'm definitely putting on my list is to enjoy Gillian Anderson as the host of Masterpiece Theatre in the New Year - and all those Jane Austen showings! As of last night, I now have Cold Comfort Farm on my DVR. So funny I had just thought about it for the first time in ages a few days ago and there it showed up on tv last night! I'm so psychic! I’ll put reading about lists on my list. Maybe it will make me a believer in lists. In the meantime something I’m definitely putting on my list is to enjoy Gillian Anderson as the host of Masterpiece Theatre in the New Year – and all those Jane Austen showings!
As of last night, I now have Cold Comfort Farm on my DVR. So funny I had just thought about it for the first time in ages a few days ago and there it showed up on tv last night! I’m so psychic!

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