@davidgrantsim In Gawande's Checklist Manifesto, the first line on the sample aviation checklist is "fly the plane." Processes seem to work the best (and cover more contextual variation) in my experience when room for critical thought is explicitly incorporated.
@davidgrantsim Indeed! The phenomenon seems to be at its worst when there is a tacit assumption that a given process has completely encompassed all possible variance in clinical context
and so therefore good judgment is no longer needed in that domain.
@s_eller @SocraticEM @DebraNestel@SSHorg I'm glad you liked it! First time on Twitter and first time on a podcast in one week. I'm finally in the 21st century!
Now to head back to my scrolls 🤓
@davidgrantsim I have seen several situations where a process that was put into place resulted in diminished critical thinking. The staff involved assumed that the process was robust enough to take care of everything.
@davidgrantsim Great questions David. I have noticed this myself and wonder whether critical thinking, rather than process, should be our real focus (not that these are mutually exclusive).