Thursday, January 21, 2010

Reading Atul Gawande's Checklist Manifesto

Reading The Checklist Manifesto is a mind expanding experience. I can't stop thinking about its implications and how I can help my patients by eliminating "errors of ineptitiude." (Which I learned as the difference between errors of omission as opposed to errors of cognition, where the latter is an error because the condition requires care beyond the skill level of the individual and the former is when the patient is harmed because of a lapse in applying standard care.)

Good blog post on the Gawande. A negative review of the book in the Wall Street Journal. A positive review on Amazon by Malcolm Gladwell.

My emphasis on teaching as my personal niche in medicine is from the idea that more important than pushing boundries of science is to learn the lessons of what has already been discovered.

After reading a couple of chapters I searched for Gawande in the NEJM and was delighted to see the breadth of contributions he has made as either scientist, editorialist or subject.

Right now I am busy crafting checklists for nephrology. I am focusing on the outpatient CKD care and routine admissions for hemodialysis patients.

Is anyone aware of checklist implementation in nephrology?
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