Books

Summary: The Checklist Manifesto – Introduction

Posted in Books on February 9th, 2010 by Jamie – Be the first to comment

Gawande’s friend tells him about a patient that came in with a stab wound. The doctors treat it like a normal wound, but it actually came from a bayonet, causing deep damage. No one had remembered to ask what the type of weapon was. He then asks Gawande to diagnose a patient who goes asystole during surgery. Gawande is unable to diagnose the problem correctly, which winds up being a potassium overdose, which is one of the most common causes of asystole.

Summary: The Checklist Manifesto – How to Get Things Right Summary

Posted in Books on February 7th, 2010 by Jamie – Be the first to comment

The Checklist Manifesto – How to Get Things Right

by Atul Gawande

  • Introduction
  1. The Problem of Extreme Complexity
  2. The Checklist
  3. The End of the Master Builder
  4. The Idea
  5. The First Try
  6. The Checklist Factory
  7. The Test
  8. The Hero in the Age of Checklists
  9. The Save

Summary

The book offers a lot of great anecdotes about the efficacy of checklists, especially in their use as memory management devices and in building communication and team work. Gawande investigates the management of complexity in medicine, finance, construction, restaurant management, and aviation. In doing so, he finds that the checklist is the tool of choice. Checklists offer a means of limiting mistakes regarding the known. There’s an old saying about the devil you know being better than the devil you don’t. Checklists are charms against the devils we know. Gawande goes on to talk about implementing a patient care checklist for the World Health Organization (WHO) and some of the obstacles he overcame in developing and delivering it. His team measured the effects of implementing the checklist in several different venues. The results were largely positive, with minor modifications needed here and there, and difficulties with regards to cultural differences. Finally, he discusses some of resistance to using checklists. Part of it is the machismo of being a hero in a “master builder” profession such as surgery. Surgeons are expected to be virtuosos who will earn the win by their own ability. Checklists limit this mythos. Gawande was not a firm believer until he had his own life-and-death situation in which checklists saved his patient’s life. It goes to show that sometimes it takes a personal calamity and emotional distress to create true buy-in.

What Got You Here Won’t Get You There, Chapter 5

Posted in Books on October 28th, 2009 by Jamie – Be the first to comment

Chapter 5: The Twenty-First Habit: Goal Obsession

  • Goal obsession is not a flaw like the rest
  • “comes from misunderstanding what we want in our lives” (99)
  • “misunderstanding what others want us to do” (100)
  • Examples
    • Candace, the marketing executive
    • Colonel Nicholson, from The Bridge on the River Kwai
    • Wall Street Exec who kept getting divorced
    • Seminary students who failed to be good samaritans

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What Got You Here Won’t Get You There, Chapter 4

Posted in Books on October 26th, 2009 by Jamie – Be the first to comment

Chapter 4: The Twenty Habits

  • Knowing What to Stop
    • one difficulty is that we often stress what to do rather than what not to do
    • what not to do is often as important
  • Shifting Into Neutral
    • Rather than attempting to move from negative to positive, which is difficult, try to move from negative to neutral
  • What’s Wrong With Us?
    • These are flaws of interpersonal behavior rather than skill or intelligence
  • The Higher You Go, the More Your Problems Are Behavioral
    • People high up are intelligent and technically able
    • Poor interpersonal behavior stands out more
  • The list:
    1. Winning too much
    2. Adding too much value
    3. Passing judgement
    4. Making destructive comments
    5. Starting with No, But, or However
    6. Telling the world how smart we are
    7. Speaking when angry
    8. Negativity
    9. Withholding information
    10. Failing to give proper recognition
    11. Claiming false credit
    12. Making excuses
    13. Clinging to past
    14. Playing favorites
    15. Refusing to express regret
    16. Not listening
    17. Failing to express gratitude
    18. Punishing the messenger
    19. Passing the buck
    20. An excessive need to be “me”

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What Got You Here Won’t Get You There, Chapter 3

Posted in Books on October 24th, 2009 by Jamie – Be the first to comment

Chapter 3: The Success Delusion or Why We Resist Change

  • We are delusional about our success
  • What happens when someone makes us change?
    • The other party must be confused
    • Denial
    • Attack
  • Four key beliefs of successful people
    • Belief 1: I have succeeded
      • belief in skills and talent
      • self-aggrandizing
      • overvalue our own contributions
    • Belief 2: I can succeed
      • confidence
      • internal locus of control
      • discount luck
      • unshakeable belief in self
      • “because” rather than “in spite of”
    • Belief 3: I will Succeed
      • Motivation
      • Difficulty rejecting opportunities
      • Sabotages change success
    • Belief 4: I Choose to Succeed
      • Committed rather than compliant
      • Cognitive Dissonance
  • How Out Success Makes Us Superstitious
    • we believe success is because of a flaw rather than in spite of it
  • We All Obey Natural Law
    • people will change if its in their own best interests

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What Got You Here Won’t Get You There, Chapter 2

Posted in Books on October 22nd, 2009 by Jamie – Be the first to comment

Chapter 2: Enough About You

  • Goldsmith began with a single client after instructing groups of leaders
  • Executive coaching is analogous to golf instruction
  • the process
    • 360-feedback from colleagues and family
    • apologize
    • advertise
    • follow up
    • listen without prejudice
    • gratitude
    • feedforward
  • book is aimed at people who want to get better

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What Got You Here Won’t Get You There, Chapter 1

Posted in Books on October 20th, 2009 by Jamie – Be the first to comment

Chapter 1: You Are Here

  • inner compass
  • annoying habits can be magnified in leadership roles
  • proprioception
  • examples
    • CEO too much value
    • Editor playing favorites
    • Financial advisor egotistical

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A Sense of Urgency by Kotter, Review

Posted in Books on October 18th, 2009 by Jamie – Be the first to comment

Kotter presents a compelling case about the need for a sense of urgency in competitive and high-performance organizations. In creating this sense of urgency, when it does not occur naturally, it’s critical to distinguish true urgency from complacency and false urgency. True urgency has distinguishing characteristics that make it different from complacency and false urgency. While complacency is easier to detect, false urgency and true urgency often get mixed up. The easiest way to discover false urgency is in the morale and organizational effects which are present. False urgency tends to create more negative emotions such as anger, anxiety, and fear.

Assuming you agree with the arguments for the need of a sense of urgency, steps to produce and nurture that sense are also included. The steps include: increasing external awareness, behaving with urgency, leveraging crises, and removing irrational opposition. One of the points stressed again and again is the need to affect hearts as well as minds. Indeed, Kotter recommends focusing at least as much on morale as on other intellectual considerations.

Lastly, Kotter warns of the dangers of success to maintaining urgency. Successes, especially resounding ones, naturally beget complacency. Rather than allowing this to happen, the leadership must be proactive in setting new goals and targets. The momentum that urgency creates is important to cultivate and preserve.

This book is a quick read, and is instructive for those in leadership positions (and even those who are not). It is especially useful for organizations going through or considering organizational changes, and considers organizational morale as a key aspect to change.

A Sense of Urgency by Kotter, Chapter 8

Posted in Books on October 16th, 2009 by Jamie – Be the first to comment

Chapter 8: Keeping Urgency Up

  • high urgency has potential for high-performance
  • sustained urgency must be constantly recreated
  • must be conscious effort or deeply ingrained in culture
  • unambiguous success yields complacency
  • urgency up, success; urgency down, a mess
    • people can become frustrated, “why won’t they let up?”
  • the problem with short term successes
    • example of getting passengers to push a bus once, then twice
  • anticipate the problem, use the strategy, choose the right tactics
    • mix things up
    • bring in external stakeholders
    • avoid anger, fear, and anxiety
  • keeping urgency up: a success cost
  • drive it into the culture
    • keeping urgency up after a success (186)
      • anticipate possible downturn in urgency
      • plan for solution
      • when urgency starts to dip
        • bring outside in
        • act urgently in new and fresh ways
        • create crisis
        • deal with NoNos


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A Sense of Urgency by Kotter, Chapter 7

Posted in Books on October 14th, 2009 by Jamie – Be the first to comment

Chapter 7: Tactic 4, Dealing with NoNos

  • NoNo from Our Iceberg Is Melting
  • the NoNo problem
    • NoNos are not skeptics
    • very dangerous to change
    • Comparison table NoNo v Skeptic (148-149)
      • past experiences
      • desired data
      • use of data
      • how active or passive
      • bottom line
  • Don’t waste time trying to co-opt a NoNo
    • they will hem and haw and stall the process
    • they will refute all data while appearing to be a part of the process
  • Never ignore the NoNos
    • will use indirect personal channels to stall process
    • will introduce opposition covertly
  • Distract the NoNos
    • Give them other projects
    • Move them away from the action
    • Assign a loyal person to keep them busy
    • flowchart including danger of NoNos (p. 160)
  • Get Rid of Them
    • Fire, ask for resignation, demote, reassign, reorganize
  • Immobilize them through social pressures
    • Stuffed penguin
    • Acknowledge and make public NoNo behavior


Purchase From Amazon: A Sense of Urgency