Comment by n4r9

2 days ago

That, and be careful to avoid a "box-ticking" culture where people rely on systems over independent thought. Also a hard balance.

Mere "box-ticking" in the form of checklists have been shown to greatly cut deaths in clinical/hospital settings. This may or may not apply to your systems.

  • The right boxes to check are good. However you have to be careful. A doctor who spends 15 minutes checking boxes before treating a heart attack just killed someone... That doesn't mean the doctor cannot check boxes, just that they need to be break early to treat things. (even here checkboxes will be good - there are things with the same symptoms as a heart attack where heart attack treatment is the worst thing possible - those have a high death rate because they are so rare doctors don't check for them until too late to treat correctly)

  • According to Atul Gawande that‘s not strictly true as stated. It‘s not the box-ticking itself, it‘s several factors including the decisions about what the list should contain and adjusting the dynamics of the operating team to actually see results.

  • Doctors would implement self-healing and abolish checklists if they could! Be glad if you don't need a checklist.

  • I'm not against ticking boxes, but a culture that relies on it overly much.