Checklists

Sometimes I read something seemingly unrelated to my life because I think it might be interesting. Such is the case with my latest read.

I just finished reading The Checklist Manifesto by Atul Gawande, MD. Gawande explains the vital use of simple checklists in operating rooms. These simple checklists have saved patient lives by catching seemingly routine things that are easily forgotten, like administering antibiotics prior to surgery in order to prevent infection. Gawande led a study with WHO to implement these checklists all over the world. The result was that surgery-related deaths and infection rates plummeted– so much so that Gawande questioned the findings ruthlessly before submitting the results.

Interestingly, it was the teamwork and communication around the checklist lead to greater outcomes. Gawande studied multiple disciplines that utilized checklists in order to develop the surgical checklist. In the construction firm he studied, even the lowest-ranked was counted as a valuable team member and could stop the process if she or he saw that something on the checklist was missing or incomplete. The success rates increased dramatically!

I felt really validated by this book. You see, when my sons were little, we developed checklists for EVERYTHING. Kids on the spectrum know when something, no matter how small, is missing. My kids also followed instructions very literally, and if a step was missing that we just figured they’d know, like taking off their shoes before hosing the mud off of them. So our checklists became very detailed, indeed! My checklists continued to be helpful for my ADHD self, and we have packing checklists saved that we print out for every trip, a decorating checklist for Christmas, and detailed checklists for cleaning chores.

Checklists even came in handy when we were in intensive family counseling, when we had a crisis surrounding our oldest kid. We made checklists for outings, play times, after school routines, hygiene, and safety. Each family member gave input and agreed to the checklists. We even had a checklist in place to determine if we needed to call a crisis line if my son was having difficulties. It was, ahem, intense. But it was also helpful to know that there was a plan in place if something were to go wrong.  And many times, going through the simple and intensive lists, we corrected mistakes before they developed into major issues. If we did have to take uncomfortable steps in a crisis situation, they weren’t surprises. Everyone was prepared and on board, even if they didn’t like it. This dramatically minimized the power struggles.

For 2018, I am making new checklists. One of the first I am going to develop is a Response Checklist, which I will go through before I respond to something that really ticks me off. I don’t think I’ll have to reinvent the wheel. There’s always the THINK list: Is what I’m going to say True?…Helpful?… Inspiring?… Necessary?…Kind?  I will also consider carefully and prayerfully my definition of “necessary.” For example, it’s not always necessary to prove I’m right! Another is a checklist of what to do if we face a financial crisis. That one is definitely a family project.

I am hoping that my checklists will be useful tools to navigate 2018. I know that by praying and planning when I am calm, God’s guidance and our preparation will allow us to handle whatever comes our way.

What checklists do you use/ think would be helpful?

Happy New Year!

 

 

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