If you’re looking for signs of a pending Zombie Apocalypse, look no further than your nearest emergency room. Go to an ER at 2:00 a.m. and you will see what looks like a callout for zombie extras. Everywhere you turn you see bleary-eyed souls stumbling around a sea of people, mentally exhausted humans searching for help, or others half-asleep carrying dangerous blades.
And those are just the doctors!
At any hour of any day in any hospital in the United States, there is a chance you will be treated by a resident who has been working thirty hours without any sleep. It’s a chilling thought, but this practice is a common rite of initiation for physicians. In an effort to improve patient care and reduce harmful errors, the Accreditation Council for Graduate Medical Education changed the maximum shift length for interns from 30 hours to 16 in 2011. It seems like common sense. No one wants a sleep-deprived resident making life or death decisions. You don’t need to be smarter than a fifth grader to come to that conclusion.
Two recent studies at Johns Hopkins and the University of Michigan Medical School tracked the results of this implemented shift change. The findings were shocking. The shorter shifts actually did more harm than good. The reduced hours did not improve doctors’ rates of depression or increase the number of hours they slept. What’s more, harmful medical errors increased by 15-20%. Some say this is likely due to the fact that the interns’ workloads didn’t decrease, and the number of patient hand-offs, where many errors occur, increased significantly.
While the original assumptions were false, we can consider the research a success. Imagine the lives that could have been lost had hospitals not tested the assumptions behind such a “common sense” solution.
Which begs the question: How often do we make changes or implement new processes in our organizations based on faulty assumptions? How often do we let majority opinion make the decision for us? How often do we make decisions based on our experience, even when that experience may not be applicable to the given situation? It happens far more frequently than we want to admit. Sure, you will have your fair share of successes by doing these things. But you also leave your organization open to a lot of costly risk and rework.
The key to success is in asking the right questions. As you approach your next big organizational initiative, ask the following questions to minimize your risk and improve your chance of success.
1. What assumptions are we making?
2. How can we test these assumptions?
3. Where can we find evidence to contradict our majority opinion?
4. Who else will be responsible for the success of this initiative, and how can we obtain their insights?
5. What alternative conclusions exist?
Organizations benefit greatly from asking contrary questions in advance to a big implementation. Of course, it takes time, but the knowledge gained from the experience prevents costly rework and results in more comprehensive solutions.
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You can’t solve a problem without good quality information. If you recall the reports of unintended acceleration that Toyota experienced a couple years ago, you know that one of their challenges was the inability to duplicate the problem. Therefore, their best source of information was from a driver who was collecting information as they were hurtling down the road trying unsuccessfully to bring their car to a stop. Obviously, not the best frame of mind for information gathering.
In the past week clients from two very large companies asked me how to address painfully slow decision making that is occurring in their organization. In fact, one was an oil & gas industry giant whose employee surveys from the last 5 years have listed slow decisions as the #1 employee complaint. There are two issues that drive the speed of a decision: The desire for accuracy and the allowance for risk.
One of the advantages of the information age we live in is that data is relatively easy to obtain. (Thank you Google, Bing and the corps of other popular search engines!) This is good, right? Of course it is… Unless you’re trying to solve problems, make decisions or create business strategies. The problem is there is so much data that it clouds our abilities to efficiently resolve these tasks and we find ourselves drowning in a sea of data. Then we have a dilemma; Which data is the best data to use?