Donโt let yourself be. Find something new to try, something to change. Count how often it succeeds and how often it doesnโt. Write about it. Ask a patient or a colleague what they think about it. See if you can keep the conversation going.
Atul GawandeIf we took away the ability to put defibrillators in people in their last years, people would be shouting in the streets.
Atul GawandeYou can't make a recipe for something as complicated as surgery. Instead, you can make a recipe for how to have a team that's prepared for the unexpected.
Atul GawandeI think the extreme complexity of medicine has become more than an individual clinician can handle. But not more than teams of clinicians can handle.
Atul GawandeOne of the consequences of if the Affordable Care Act is repealed, is that all of us now are at risk of being a preexisting - of having a preexisting condition waiting to happen. Life, increasingly, is a preexisting condition waiting to happen, now that we have more and more of this data available.
Atul GawandeGood checklists, on the other hand are precise. They are efficient, to the point, and easy to use even in the most difficult situations. They do not try to spell out everything--a checklist cannot fly a plane. Instead, they provide reminders of only the most critical and important steps--the ones that even the highly skilled professional using them could miss. Good checklists are, above all, practical.
Atul Gawande