{"id":40302,"date":"2017-10-06T11:32:28","date_gmt":"2017-10-06T10:32:28","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=40302"},"modified":"2017-10-13T15:56:32","modified_gmt":"2017-10-13T14:56:32","slug":"jeffrey-aronson-when-i-use-a-word-checklists","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/06\/jeffrey-aronson-when-i-use-a-word-checklists\/","title":{"rendered":"Jeffrey Aronson: When I use a word . . . Checklists"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-32935\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson-223x300.jpg\" alt=\"jeffrey_aronson\" width=\"112\" height=\"151\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson-223x300.jpg 223w, https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson.jpg 446w\" sizes=\"auto, (max-width: 112px) 100vw, 112px\" \/><\/a><span style=\"font-weight: 400\">If etymology were anything to go by, checklists would rule our lives, although we must beware not to let etymology rule our views of language, informative though it can be.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The IndoEuropean root KSEI meant to gain control or power over, to rule. In Sanskrit a kshatriya was a member of the military caste (rulers, warriors, and administrators), the second of the four Hindus varnas, castes or classes (literally \u201ccolours\u201d). The others were the brahmins (priests, scholars, and teachers), vaishyas (agriculturalists and merchants), and shudras (labourers and service providers). In ancient Persia a shah was a king and a satrap a governor of a province, a satrapy. In Turkish a padishah was a lord or a sovereign such as the Ottoman Sultan; a shortened form, pasha, referred to a military commander or a provincial governor.<\/span><\/p>\n<p><span style=\"font-weight: 400\">What resembles an early version of chess was called chaturanga, from the Sanskrit chatur, four (from the same IndoEuropean root from which we get four and farthing, tetrad and tetralogy, quart, quartan, and square) plus anga, divisions. The name denotes the four groups of men, the armies, belonging to the four players. By the 6<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\"> century another version had developed, shatranj, more like the modern version of chess. The classical Greek word for chess was \u03b6\u03b1\u03c4\u03c1\u1f77\u03ba\u03b9\u03bf\u03bd (cf chatur) and although there are similarities between the two games, in the types of pieces used and the ways in which they moved, they were probably different, although various books on the history of chess give different and often confusing accounts. However, the similarity of the two names suggests a relationship of some sort, and it is possible that through folk etymology the Sanskrit chatur was confused with the Persian word for a king, shah.<\/span><\/p>\n<figure id=\"attachment_40307\" aria-describedby=\"caption-attachment-40307\" style=\"width: 686px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/10\/aronson_check.png\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-40307\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/10\/aronson_check.png\" alt=\"\" width=\"686\" height=\"306\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/10\/aronson_check.png 1022w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/10\/aronson_check-300x134.png 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2017\/10\/aronson_check-768x343.png 768w\" sizes=\"auto, (max-width: 686px) 100vw, 686px\" \/><\/a><figcaption id=\"caption-attachment-40307\" class=\"wp-caption-text\">The initial layouts for chaturanga (left) and shatranj (right). In chaturanga four players, playing in pairs, yellow and red partnering against green and black, moved their respective pieces, a ship or a chariot, a horse, an elephant, a king, and four foot soldiers, in accordance with throws of a die; if two kings on the same side met they could join forces. In shatranj the pieces were arrayed along the back ranks, as in the modern game of chess, although the layout was slightly different; note the non-opposing kings and the use of elephants instead of bishops.<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400\">If you attacked the shah in shatranj, you said so, and \u201cshah\u201d therefore led to our word \u201ccheck\u201d; \u201cshah mat\u201d, the king is defeated, gave us \u201ccheckmate\u201d. In mediaeval Latin the game was called scacci, giving esch\u00e8cs in Old French and chess in English. In modern French it is \u00e9checs, in Italian scacchi, in Spanish ajedrez, and in Portuguese xadrez. German has Schach, Dutch schaak, Danish skak, Norwegian sjakk, Swedish shcack, modern Greek \u03c3\u03ba\u03ac\u03ba\u03b9, Polish szachy, Russian shakhmaty (\u0448\u0430\u0445\u043c\u0430\u0442\u044b). Non-IndoEuropean languages conform: Finnish shakki, Hungarian sakk, Hebrew shakhmaht (\u05e9\u05d7\u05de\u05d8). But in Erse and Cymric chess is called <\/span><a href=\"http:\/\/tafl.cyningstan.com\/post\/1149\/fithcheall-and-gwyddbwyll-hnefatafl-or-not\"><span style=\"font-weight: 400\">ficheall and gwyddbwyll<\/span><\/a><span style=\"font-weight: 400\">, respectively, from the names of an unrelated ancient Celtic board game.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In the 12<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\"> century the word scaccarium described a table covered by a black cloth marked off in squares, used as a kind of abacus; hence exchequer. The exchequer called the counterfoil of a bill a cheque, used to check for forgeries. Checker or chequer later came to mean a chess board and therefore to mark off in squares like a chess board, checked pattern, or chequered flag.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Since to check meant to attack in chess, the word came to mean to attack in general, as in a physical body check, and therefore to stop someone or something from happening, to hold in check. You might stop someone to control or check them. In a hotel you stop to check in or out. You get checked off at a checkpoint. And whoever is doing the checking, having checked you out, may put a tick in a check box or on a checklist. Death is the final checking out.<\/span><\/p>\n<p><span style=\"font-weight: 400\">T H Huxley, in his textbook <\/span><a href=\"https:\/\/archive.org\/details\/lessonsinelemen07huxlgoog\"><i><span style=\"font-weight: 400\">Lessons in Elementary Physiology<\/span><\/i><\/a><span style=\"font-weight: 400\"> (6<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\"> edition), described check ligaments, passing from the apex of the odontoid peg to either side of the occipital foramen, helping to stop excessive rotation of the skull. Check ligaments are also found in the <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/25422980\"><span style=\"font-weight: 400\">eyes<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The term checklist in English dates from the mid 19<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\"> century as \u201ca list of names, titles, etc., so arranged as to form a ready means of reference, comparison, or verification; spec. a list of qualified voters for use at an election\u201d (<em>OED<\/em>). There have been medical checklists for a long time\u2014check out <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/14814076\"><span style=\"font-weight: 400\">this paper<\/span><\/a><span style=\"font-weight: 400\"> in the <\/span><i><span style=\"font-weight: 400\">Journal of Applied Psychology<\/span><\/i><span style=\"font-weight: 400\"> (1951). Then Atul Gawande, in <\/span><i><span style=\"font-weight: 400\">The Checklist Manifesto: How to Get Things Right<\/span><\/i><span style=\"font-weight: 400\"> (2009), foreshadowed by a New Yorker <\/span><a href=\"https:\/\/ezproxy-prd.bodleian.ox.ac.uk:2506\/ha\/default.aspx#.\/!?&amp;_suid=15072433300280627771240538638\"><span style=\"font-weight: 400\">article<\/span><\/a><span style=\"font-weight: 400\">, and taking a lead from aviation, put checklists more firmly on the map. He and his colleagues <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19144931\"><span style=\"font-weight: 400\">reported<\/span><\/a><span style=\"font-weight: 400\"> that surgical safety checklists reduced mortality and other postoperative complications. The problem in adopting them in widespread practice turned out to be difficulties in <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/21398154\"><span style=\"font-weight: 400\">implementation<\/span><\/a><span style=\"font-weight: 400\">. A <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4587654\/\"><span style=\"font-weight: 400\">realist synthesis<\/span><\/a><span style=\"font-weight: 400\"> of the evidence showed that implementation improves when clinicians are actively engaged and tailor checklists to their own needs.<\/span><\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/%202017\/08\/18\/jeffrey-aronson-when-i-use-a-word-judgement-or-algorithm-head-or-formula\"><span style=\"font-weight: 400\">Algorithms<\/span><\/a><span style=\"font-weight: 400\"> generally work at least as well as clinical judgment, but they won\u2019t work if they aren\u2019t used properly.<\/span><\/p>\n<p><em><strong>Jeffrey Aronson<\/strong>\u00a0is a clinical pharmacologist, working in the Centre for Evidence Based Medicine in Oxford&#8217;s Nuffield Department of Primary Care Health Sciences. He is also president emeritus of the British Pharmacological Society.<\/em><\/p>\n<p><strong>Competing interests:<\/strong>\u00a0None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>If etymology were anything to go by, checklists would rule our lives, although we must beware not to let etymology rule our views of language, informative though it can be. [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2017\/10\/06\/jeffrey-aronson-when-i-use-a-word-checklists\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38359,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5762],"tags":[],"class_list":["post-40302","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-jeff-aronsons-words"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jeffrey Aronson: When I use a word . . . 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