Dysfunctional Momentum Unchallenged concept that events are - PowerPoint PPT Presentation

Mom’s Company Rule Dysfunctional Momentum and Master Clinicians Gerard M. Doherty Chair of Surgery Utley Professor of Surgery and Medicine Boston University Surgeon-in-Chief Boston Medical Center Dysfunctional Momentum Unchallenged concept that events are unfolding as expected Class of 1993 Barton and Sutcliffe 2010 1

Situated Humility Confidence in one’s own skills AND Acceptance that a complex, dynamic or uncertain situation is not fully knowable Barton and Sutcliffe 2010 Head . Left Right Feet 2

Head R superior parathyroid Non-recurrent Right Left laryngeal n. R carotid a. Feet Linear Complicated Systems Firefighters and Clinicians* Dysfunctional Situated Momentum Humility • Action Orientation • Rejects Complacency • Inflexible Planning • Accepts Unknowability • Rationalization • Invites Interruptions • Unabated Progress • Skeptical of Experts • Deference to Expertise • Deliberate Slowdowns • Ignore Ripple Effects • Seeks Diverse Perspectives • Creates Accessibility * and Coal Miners, Small Business Owners, Corporate Executives 3

Linear Complicated Systems Multidimensional Complex Systems Recovery 4

Master Clinician: Effective Team Leadership Cultivate Humility Encourage Skepticism Seek Bad News Think Out Loud Boston University Medical Campus Make Yourself Available 5