Você só precisa fazer mais do que já funciona

survey

Em 2004, nove hospitais de Michigan começaram a implementar um novo procedimento em suas unidades de terapia intensiva (UTI). Quase de imediato, os profissionais de saúde ficaram atordoados com o seu sucesso.

Três meses após o seu início, o procedimento havia cortado a taxa de infecção de pacientes internados na UTI por sessenta e seis por cento. Dentro de 18 meses, este método tinha salvado 75 milhões de dólares em despesas de saúde. O melhor de tudo, esta única intervenção salvou a vida de mais de 1.500 pessoas em apenas um ano e meio. A estratégia foi imediatamente publicado em um jornal de grande sucesso para o New England Journal of Medicine .

Este milagre médico também foi mais simples, que você jamais poderia imaginar. Foi um checklist.

O Poder de jamais pulando etapas

A estratégia lista implementado em hospitais de Michigan foi nomeado o Projeto UTI Keystone. Foi conduzido por um médico chamado Peter Pronovost e mais tarde popularizada pelo escritor Atul Gawande.

No livro best-seller de Gawande, O Manifesto Checklist , ele descreve como simples lista poderia obter tais resultados dramáticos. Na citação seguinte, Gawande explica uma das listas de verificação que foi utilizado para reduzir o risco de infecção durante a instalação de uma linha central em um paciente (um procedimento relativamente comum).

Em uma folha de papel comum os passos a tomar, a fim de evitar infecções ao colocar uma linha no. Os médicos devem (1) lavar as mãos com sabão, (2) Limpe a pele do paciente com clorexidina anti-séptico , (3) colocar campos estéreis ao longo de todo o paciente, (4) usar uma máscara estéril, chapéu, vestido, e luvas, e (5) colocar uma compressa esterilizada sobre o local do cateter. Verifique e vá.

Estes passos há muito o que pensar; eles têm sido conhecidos e ensinou durante anos. Então, parecia bobo para fazer uma lista só para eles. Ainda assim, Pronovost perguntou aos enfermeiros em sua UTI para observar os médicos por um mês, enquanto eles colocam linhas em pacientes, e registrar a frequência com que cada etapa concluída. Em mais de um terço dos pacientes, eles ignorados pelo menos uma.

Esta lista de cinco passo foi a solução mais simples que os hospitais de Michigan usado para salvar 1.500 vidas. Pense nisso por um momento. Não houve inovações técnicas. Não foram descobertas farmacêuticas ou procedimentos de ponta. Os médicos só parou de pular etapas. Eles implementaram as respostas que eles já tinham em uma base mais consistente.

Novas Soluções vs. velhas soluções

Nós temos uma tendência a subestimar respostas que já descobertos.

Aqui está o problema: “Todo mundo já sabe que” é muito diferente de Só porque uma solução é conhecido não significa que ele é utilizado “Todo mundo já faz isso.”.

Ainda mais crítico, só porque a solução é implementada de vez em quando, não significa que ele é implementado de forma consistente. Todo médico conhecia os cinco passos na lista de verificação de Peter Pronovost, mas muito poucos o fizeram todos os cinco passos na perfeição cada vez.

Assumimos que são necessárias novas soluções, se quisermos fazer progressos reais, mas que nem sempre é o caso. Considere as incríveis somas de dinheiro estão focados em pesquisa farmacêutica e desenvolvimento de medicamentos (ou seja, buscando novas soluções). Imagine se esses fundos foram vertidos para reduzir erros e certificando-se as melhores práticas foram realizadas em toda a linha (ou seja, a implementação de soluções de idade).

Use o que você já tem

Esse padrão é tão presente em nossas vidas pessoais, uma vez que está em corporações e governos. Nós desperdiçamos os recursos e idéias em nossas mãos, porque eles não parecem novo e excitante.

Há muitos exemplos de comportamentos, grandes e pequenos, que têm a oportunidade de impulsionar o progresso em nossas vidas, se nós fizemos-los com mais consistência. Uso do fio dental todos os dias. Nunca perder os treinos. Execução de tarefas fundamentais de negócios a cada dia, e não apenas quando você tiver tempo. Desculpando-se com mais freqüência. Escrever notas de agradecimento a cada semana.

Naturalmente, estas respostas são chatas. Dominar os fundamentos não é sexy, mas funciona. Não importa o que tarefa você está trabalhando, há uma simples lista de passos que você pode seguir os fundamentos agora-básicos que você já conheciam há anos-que podem produzir resultados imediatamente se você acabou de praticá-los de forma mais consistente.

Progress muitas vezes se esconde atrás de soluções chatas e insights subutilizadas.
Você não precisa de mais informações.
Você não precisa de uma melhor estratégia.
Você só precisa fazer mais do que já funciona.

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