Hospital checklists work really well — except when they're not used

Atul Gawande (previously) made an enormous shift in the practice of medicine with his research on checklists, summarized in his book The Checklist Manifesto; Gawande identified a core paradox with checklists, which is that surgeons hate to use them, finding them reductive and tedious, but overwhelmingly, surgeons would prefer to be operated on by other surgeons who were using a checklist to guide the procedure.

How a triple-amputee doctor is helping to change the way we die

Jon Mooallem's beautiful profile of BJ Miller tells the tale of how Miller lost three of his limbs in a stupid accident and became a pioneer of palliative medicine: but for me, it's also a story of the very best of San Francisco's blend of technology, optimism, compassion and exuberant weirdness — a blend that has been changing for the worse since the dotcom bubble of the turn of the century.

HOWTO make health-care cheaper by spending more on patients who need it

Atul Gawande's New Yorker feature "The Hot Spotters" is a fascinating look at a small group of doctors and medical practitioners who are working on reducing systemic health care costs by doing data-analysis to locate the tiny numbers of chronically ill patients who consume vastly disproportionate resources because they aren't getting the care they need and so have to visit the emergency room very often (some go to the ER more than once a day!) — Read the rest

Woman who couldn't stop itching

Last night I listened to a New Yorker podcast interviewing Atul Gawande, author of an article in the latest issue about itching. It's fascinating.

"Scratching is one of the sweetest gratifications of nature, and as ready at hand as any," Montaigne wrote.

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