The Atul Gawande’s article, ” The Checklist” published in the Annal of Medicine December 10 2007 Issues, outlines Doctors Peter Pronovost’s work in medical field. The author relates to many medical situations within hospitals with emphasis on the intensive care unit. Pronovost was among the first to recognize the power of using a checklist. Using a checklist can save lives in the ICU. It was a surprise to me that Spain was willing at adopt Pronovost’s checklist idea while only a few hospitals in the US have opted to do so. Routine steps can be easily missed or forgotten without using a checklist as shown by many of Pronovost’s experiments .