Review: The One Thing: The Surprisingly Simple Truth Behind Extraordinary Results

The One Thing: The Surprisingly Simple Truth Behind Extraordinary Results
The One Thing: The Surprisingly Simple Truth Behind Extraordinary Results by Gary Keller

My rating: 5 of 5 stars

So, is it realistic to clear 4 hours of your work day EVERY DAY to work on your ONE THING? Yes, I agree, not going to happen, even if Gary Keller tells you to. However, it is inspiring to read about new ways of working, new ways of structuring the day, the week, the month, to think about focus. Given the 17 priorities I’m working on now, and my many colleagues with highly variant concerns and demands, I completely understand where this book comes from and its audacious goal.

I also know, from my recent work on APSO notes (inverting the SOAP progress note written by doctors, to place the Assessment and Plan at the top of the note, for easier reading and understanding by all), and making this change (highly resisted, because IT’S DIFFERENT AND UNFAMILIAR) throughout the 3000 doctors at our hospital system, that this was my primary focus for years, until it was achieved as a universal standard. Focus does have its benefits. When I look back on my career, it is NOT the hundreds of smaller projects, or the hundreds of thousands of emails I crafted or responded to, it is not the ‘crucial conversations’ I had with individual docs and patients that maybe moved their beliefs and attitudes very slightly. Instead, I look back at BIG projects that were HARD, and where we accomplished something as a team, as an organization.

CMIO’s take: In hindsight, it was the unintentional “One Thing” attitude that put these projects over the top. Perhaps I could learn from my past, of the projects never reaching fruition, and the few that did, and allow the “One Thing” more of an influence in what I do. Highly recommended as a book.

View all my reviews

Author: CT Lin

CMIO, UCHealth (Colorado); Professor, University of Colorado School of Medicine

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