Are Doctors Who Make Mistakes

There Are Times When You Have Sharp Elbows, And People Are Trying To Muscle You Out Of Certain Meetings - Because Then People Could Leak To The Press That You Had A Role In Certain Decisions. I, At Twenty-six, Was Very Impatient And Didn't Know How To Keep My Powder Dry. I Was Running A Team Of Seventy-five People When I Had Never Been A Boss. I Was The Worst Boss Ever.

In Psychology, There's Something Called The Broken-leg Problem. A Statistical Formula May Be Highly Successful In Predicting Whether Or Not A Person Will Go To A Movie In The Next Week. But Someone Who Knows That This Person Is Laid Up With A Broken Leg Will Beat The Formula. No Formula Can Take Into Account The Infinite Range Of Such Exceptional Events.

Good 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.

The Striking Thing Is That Who Doesn't Really Have The Authority To Do Any Of This. It Can't Tell Governments What To Do. It Hires No Vaccinators, Distributes No Vaccine. It Is A Small Geneva Bureaucracy Run By Several Hundred International Delegates Whose Annual Votes Tell The Organization What To Do But Not How To Do It.…the Only Substantial Resource That Who Has Cultivated Is Information And Expertise.

No One Teaches You How To Think About Money In Medical School Or Residency. Yet, From The Moment You Start Practicing, You Must Think About It. You Must Consider What Is Covered For A Patient And What Is Not.