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Issue No. 173 of Your Weekly Staff Meeting (Feb. 8, 2010) highlights a fascinating book on checklists—and how this “basic, basic, basic” tool can enhance teamwork and eliminate errors and disasters. Warning—the surgery stories are vivid! And this reminder: check out my Management Buckets website with dozens of resources and downloadable worksheets for your staff meetings.
Fly the Airplane!
I’ve mentioned before that I measure a great book by how often I’m reading sections to my long-suffering wife/listener, Joanne. Another indicator: I read the book slowly, tasty morsel by tasty morsel. Lastly, there’s serious emotion when I turn the last page—somehow hoping it could go on and on. This book scores 10s on all counts.
Really? A book about checklists is that good? Yes. If you enjoyed Malcolm Gladwell’s Outliers, you’ll love this one.
[x] 1. Atul Gawande, a surgeon and staff writer for The New Yorker, leads the World Health Organization’s Safe Surgery Saves Lives program. If you didn’t believe in checklists before, you’ll be a born-again checklist-maker after Chapter 1.
[x] 2. He quotes a 1970s study on “necessary fallibility.” It cites two reasons we fail at stuff: a) ignorance and b) ineptitude. In the latter, “…the knowledge exists, yet we fail to apply it correctly.”
[x] 3. Caution! If you’re having surgery soon, or have friends or family facing the knife, you may want to skip this book—or ask your surgeon’s views on operating room checklists. (In a recent global experiment, a two-minute pre-surgery team review of a standard checklist has dropped infection rates, death rates and complication rates by a staggering amount.)
[x] 4. Pilots have long been the checklist gurus—but the art and science of well-crafted checklists have not found favor in other professions or industries…yet. The Captain Sully story, though expected, still caused my heart to beat fast. You’ll appreciate how checklists saved the day for the “Miracle on the Hudson.”
[x] 5. The chapter, “The End of the Master Builder,” takes you into the elite world of checklists created under the hardhats of McNamara/Salvia, a Boston high rise construction firm. The dingy construction trailer is long gone. In its place, “…on the walls around a big white oval table, hung sheets of butcher-block-size printouts of what were, to my surprise, checklists.”
[x] 6. Checklists are “ridiculously simple.” What seems obvious, isn’t. Checklists enhance teamwork—even among virtuoso surgeons. “There’s a reason much of the world uses the phrase, operating theater.”
[x] 7. Boeing’s checklist expert uses “pause points” when building checklists for pilots in crisis. Within each pause point, he limits the checklist to between five and nine items. I had no idea that there were checklist connoisseurs.
[x] 8. For crisis lists, decide whether you want a DO-CONFIRM checklist (do what your gut tells you, then go back and confirm you did it) or a READ-DO checklist (more like a recipe).
[x] 9. Gawande interviewed the managing partner of a California investment firm who is a checklist zealot. He cited the “cocaine brain” that researchers often experience when investigating company financial reports. Without a thorough checklist (honed over years of experience), a greed mode kicks in and wipes out thoughtful discernment. They use a “Day Three Checklist” to avoid disasters. “Forty-nine times out of fifty, he said, there’s nothing to be found. ‘But then there is.’”
[x] 10. “Fly the airplane,” amazingly, is the first item on a checklist for engine failure on a single-engine Cessna airplane. “Because pilots sometimes become so desperate trying to restart their engine, so crushed by the cognitive overload of thinking through what could have gone wrong, they forget this most basic task. FLY THE AIRPLANE.”
In one study of 250 staff members (surgeons, anesthesiologists, nurses and others), 80 percent reported that the new checklist had improved the safety of care and 78 percent “actually observed the checklist to have prevented an error in the operating room.” Yet, 20 percent gave it a thumbs down.
Then Gawande asked one more question, “If you were having an operation, would you want the checklist to be used?” A full 93 percent said yes!
To order this book from Amazon, click on the title for The Checklist Manifesto: How to Get Things Right, by Atul Gawande.

Note! Another must-read by Atul Gawande: Being Mortal.
YOUR WEEKLY STAFF MEETING QUESTIONS:
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1) The author notes a study on the “science of complexity.” The researcher defined three levels: simple (use a recipe to bake a cake), complicated (sending a rocket to the moon), and complex (raising a child). How much of your work time do you devote to these three levels?
2) Does this “manifesto on checklists” intrigue us enough so that someone here should read the book and report on it in a month?
More on Checklists: Smart Moves for People in Charge: 130 Checklists to Help You Be a Better Leader
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5-Step Crisis Card
Insights from Mastering the Management Buckets: 20 Critical Competencies for Leading Your Business or Nonprofit
One of the big ideas in the Crisis Bucket, Chapter 13, in Mastering the Management Buckets, is to create simple, step-by-step instructions and plans BEFORE a crisis hits. For example, World Vision has an Emergency Response and Disaster Mitigation (ERDM) team. Team members carry a wallet-size, laminated card with instructions on what to do when disaster strikes.
To review World Vision’s five-step card, download and read the article, "We've Got an Emergency: Essential Lessons Every Manager Needs to Learn Before a Crisis Hits" (The Inside Story of How World Vision Responded to the Tsunami Disaster). Visit the Crisis Bucket webpage.
• BLOG: Pails in Comparison
• SUBSCRIBE: Your Weekly Staff Meeting eNews
• JOHN'S BOOK REVIEWS: on Amazon
• WEBSITE: Management Buckets
• BLOG: Governance of Christ-Centered Organizations
• PODCASTS: John Pearson's Buckets Podcasts
NOTICE! Issues No. 1 to 657 of Your Weekly Staff Meeting (2006 to 2025), previously archived on Typepad.com are slowly (!) being moved to this blogsite you are on now (John Pearson's Buckets Blog).
Issue No. 141 of Your Weekly Staff Meeting (May 26, 2009) tackles humility and the Program Bucket—two subjects rarely combined. And this reminder: check out my Management Buckets website with dozens of resources and downloadable worksheets for your staff meetings.

The Root of Every Virtue
Andrew Murray (1828-1917) was a South African Dutch Reformed pastor and Christian leader who authored 240 books and devotional writings, including With Christ in the School of Prayer and this week’s book, Humility. No jazzy subtitle, just the one word—humility.
The book caught my eye because a candidate for a CEO position included it as one of three books he would recommend to his senior team members. Wow. I must confess that I have exerted untold wasted energy being outraged more over arrogant leaders than I have in reflecting on the cure: humility. This book whacked me—and is still poking at me, yet the edition I read is only 59 pages, with big print.* Here you go:
• “Humility, the place of entire dependence on God, is, from the very nature of things, the first duty and the highest virtue of the creature, and the root of every virtue.”
• “The chief mark of counterfeit holiness is its lack of humility.”
• “Pride can lift its head in the very temple of God, and make His worship the scene of self exaltation.”
• “Humility is the only soil in which the graces root; the lack of humility is the sufficient explanation of every defect and failure.”
• “Humility is not so much a grace or virtue along with others; it is the root of all, because it alone takes the right attitude before God, and allows Him as God to do all.”
• “The truth is this: Pride may die in you, or nothing of heaven can live in you.”
• “No tree can grow except on the root from which it sprang.”
Every page convicts—you probably shouldn’t read this book. There’s more. “Is it any wonder that the Christian life is so often feeble and fruitless, when the very root of the Christ life is neglected, is unknown?” And thus Andrew Murray (who also wrote The True Vine and Abide With Me) elegantly pictures the battle between pride and humility (“the two master powers”)—documenting the futility of living a God-honoring life without humility. The path to the higher life? “Down, lower down!”
To order this book from Amazon, click on the title for Humility, by Andrew Murray. (*Note: There are numerous editions of this book on Amazon.)
BONUS BOOK: Superhabits: The Universal System for a Successful Life, by Andrew V. Abela (Read more on virtues from a business school dean!)
YOUR WEEKLY STAFF MEETING QUESTIONS:
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1) Andrew Murray writes, “…humility towards men will be the only sufficient proof that our humility before God is real; that humility has taken up its abode in us; and become our very nature; that we actually, like Christ, have made ourselves of no reputation.” What does this mean to you?
2) What’s the balance between pride and humility when we tell our organization’s story in publications, brochures, donor letters, and Rotary speeches?
NOTE: Humility is one of "18 Best Board Books" in my series on recommended reading for nonprofit board members. See the list here.
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Thus Saith the CEO
Insights from Mastering the Management Buckets: 20 Critical Competencies for Leading Your Business or Nonprofit
One of the big ideas in the Program Bucket, Chapter 6, in Mastering the Management Buckets is to do research. “If you have $10,000 to spend, invest $5,000 in researching and understanding your audience," recommends Bob Hisrich.
Truth be told—in this economic downturn—the reason some companies, churches and nonprofits are dropping programs right and left is that they should never have been launched in the first place. Some were started because the leader came down off the mountain and announced, “Thus saith the CEO.” No research. No ask the customer. No second guessing. Just full speed ahead. That’s not faith—that’s stupidity.
So…before you launch your next big idea, invest 50 percent of the budget in researching and understanding the market. You’ll save a ton of money—and often, a ton of embarrassment. (Read more in Marketing Your Ministry, by Robert Hisrich and yours truly.)
For more help, download "Worksheet #6.2: Top 10 Questions to Ask About Program Capacity and Sustainability" from the Program Bucket page at my Management Buckets website. Plus, check out the book recommendations listed for this bucket.
• BLOG: Pails in Comparison
• SUBSCRIBE: Your Weekly Staff Meeting eNews
• JOHN'S BOOK REVIEWS: on Amazon
• WEBSITE: Management Buckets
• BLOG: Governance of Christ-Centered Organizations
• PODCASTS: John Pearson's Buckets Podcasts
NOTICE! Issues No. 1 to 657 of Your Weekly Staff Meeting (2006 to 2025), previously archived on Typepad.com are slowly (!) being moved to this blogsite you are on now (John Pearson's Buckets Blog).
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Issue No. 281 of Your Weekly Staff Meeting (July 8, 2013) features a little-known book from Peter Drucker who said,“We now accept the ...