There's a lot of book there, but the short riff is : - checklists reduce error - surgical staff may or may not embrace checklists even when they know it reduce

There's a lot of book there, but the short riff is : - checklists reduce error - surgical staff may or may not embrace checklists even when they know it reduces error. - they backslide and the error rate comes back. Using "Fast and Slow" as a template, they have a weird and hard to understand balance between their System 1 and System 2 thinking. I've used a basic "checklist" ( eg, the motor has to be at X RPM +/- Y RPM for X seconds before you disengage the clutch ) as the central element in some controls automation, and I've seen people be really confused by that. Machines people do not think in terms of "proofs" even though they embrace chunked operations.