Jimmy Chin on managing fear

Jimmy Chin is one of the best mountain climbers alive. He knows fear. And how to manage it:

The full quote, from Outside magazine 19 October 2015:

Fear is always there, it’s a survival instinct. You just need to know how to manage it. It’s about sorting out perceived risk from real risk, and then being as rational as possible with what’s left.  Am I in control of the situation?  Do I possess the skills and capabilities to succeed? If you answer yes to these kinds of questions, go.  But if you answer no, have the guts to turn around. Don’t get paralyzed—get rational.

 

 

Surgical checklists

Checklists save lives! A major new study in the journal Annals of Surgery shows a 22% reduction in post-surgical deaths when a simple WHO 19-item checklist was used. It wasn’t a true random experiment, but the clear results are still impressive.
“Safety checklists are not a piece of paper that somehow magically protect patients, but rather they are a tool to help change practice, to foster a specific type of behavior in communication, to change implicit communication to explicit in order to create a culture where speaking up is permitted and encouraged and to create an environment where information is shared between all members of the team.”
Alex Haynes
Lead author of the study.
Quoted in a Washington Post story on the study.
 
One of the authors told the ScienceDaily website that:
“Safety checklists can significantly reduce death in surgery. But they won’t if surgical teams treat them as just ticking a box.”
Atul Gawande
Yep.

Haynes, A. B., Edmondson, L., Lipsitz, S. R., Molina, G., Neville, B. A., Singer, S. J., Moonan, A. T., Childers, A. K., Foster, R., Gibbons, L. R., Gawande, A. A., and Berry, W. R. (2017). Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Annals of Surgery, online April 8, 2017, doi: 10.1097/SLA.0000000000002249