“Having great components is not enough. We are obsessed in medicine with having great components, the best drugs, the best devices, the best specialists, but pay little attention to how to make them fit together well. Berwick notes how wrong-headed this approach is. Anyone who understands systems will know immediately that optimizing parts is not a good route to system excellence, he says. He gives the example of a famous thought experiment, of trying to build the world’s greatest car by assembling the world’s greatest car parts. We connect the engine of a Ferrari, the breaks of a Porsche, the suspension of BMW, the body of a Volvo. What we get, of course, is nothing close to a great car. We get a pile of very expensive junk.”
Quote by Atul Gawande
Work
The Checklist Manifesto: How to Get Things Right
In The Checklist Manifesto, surgeon and public health researcher Atul Gawande argues that in an increasingly complex world, even experts can benefit from using checklists to manage tasks and avoid mistakes. Drawing on examples from surgery, aviation, and building construction, Gawande shows how checklists help ensure consistency, communication, and reliability in high-stakes environments. The book makes a case for embracing humility and systematic procedures to achieve better outcomes, without oversimplifying the challenges of professional work. more
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