Title: Towards Spectacular Teams
1Towards Spectacular Teams
- R. Wade Schuette
- 9/9/2006
2Spectacular results are possible
3T. S. Eliots observation of us all
- They constantly try to escape
- From the darkness outside and within
- by dreaming of systems so perfect that no one
will need to be good - TS Eliot "The Rock"
- http//en.wikiquote.org/wiki/T._S._Eliot
4Does systematizing work?
- High-Reliability Organization literature for
nuclear power plants, cockpits, etc. describes
teams that can rise-above protocols and
occasionally challenge every level of the model
in real-time. - What is required for that to be an improvement,
instead of a collapse of authority and control?
5Culture conflict
- How does the culture above and beyond protocols
(e.g., Threat and Error Management) connect to
the culture that stresses protocols as the
end-all and be-all of quality? - Are they in conflict, or are they compatible if
viewed correctly? (the latter.)
6What it takes I think
- My conclusion we have to move from reliance on
protocols to internalizing the protocols,
digesting them, mastering them, and then
floating a single concept in their place that
encompasses them all, and more, stabilized and
made safe by operating only in an active
strength context team members must create for
each other (you cant make your own).
7Linear model more systematic process yields more
reliable output
8New model with only one section linear (region II)
9Reliablity goes up, then down as more and more is
standardized
10Five stages as we try to manage active systems
with more protocols
- I chaos
- II Quality improvement
- III diminishing returns, soaring costs
- IV paradoxical reductions in safety
- V catastrophic collapse
11Comparison of models
- Linear model assumes more is always better, and
perfection is possible. - Nonlinear model assumes there is a gap, and a
maximum point beyond which a different strategy
is needed.
12The problem of the gap
- Protocols can only close about 99.5 of the gap.
The real world doesnt lie flat or stay still
long enough to ever capture the remaining
half-percent. - In case of ulta-high cost accidents (say,
nuclear power or bio-war situations) that 0.5 is
way too much. - Expected cost is equal to low Risk times huge
Cost, which is a very large number
13Also, regulatory model collapses under its own
weight
- Attempting to define every possible case in
protocols or regulations becomes prohibitively
expensive. After the first several hundred
pages, adding another 1000 pages to the manual
in an effort to make it more helpful is
well-intentioned, but not actually helping. - Laws piled on laws forever cannot close the gap.
Period. Ever. So, Now what?
14We need a phase transition, and it turns out
one is possible
15Phase transition to spectacular
- Once get to maximum value of more procedures,
stop adding them. - More will never cross the chasm its like
trying to write team rules for how to always win
at football. - Procedures must be mastered, 105, internalized,
and then stepped beyond - Visual-on-top state is what to seek, with eyes
open and all the dots connected.
16Three states of flight visual, by instruments,
and visual-on-top we need to get to VFR on top
17Flying on top is tricky
- Emergent control from above is required to
stabilize motion, because definition by a limited
human based on limited-experience rules will
always be incomplete and under-specified. - Guidance from above is not mystical, its a
social-engineering application of what civil
engineers call active strength. or
intelligent materials.
18Spirit-stabilized mastery active strength in
human systems
19Phase transition to spectacular
- Need to get to a very specific sense of throwing
away the rule book, removing the scaffolding,
because the higher-order concept has clicked,
made sense, and is now in control from above. - This is a realization in a human system of the
active strength / intelligent materials
feedback concept now used in the design of modern
buildings.
20What is active strength?
- Engineers now realize that structures can be made
hyper-strong by using feedback to damp out tiny
variations that are the precursors to collapse
failures. - This tiny intelligent-context feedback makes
all the difference in the world, by stabilizing
the intrinsic strength that is lost by just
small imperfections.
21What is active strength?
- Engineers now realize that structures can be made
hyper-strong by using feedback to damp out tiny
variations that are the precursors to collapse
failures. - For example how strong is a rolled-tube of
one sheet of typing paper?
22Pretty strong if it stays aligned
23Nonlinear effects in structures
- Some buildings now use a central control that
uses a very light touch of active pressure
devices to damp out vibrations that, if allowed,
could cascade into a structural collapse. - The opposite end of that dimension is the famous
Tacoma Narrows Bridge which ripped itself apart
and collapsed. See the amazing video clips at
http//www.enm.bris.ac.uk/research/nonlinear/tacom
a/tacoma.htmlmpeg
24Active Strength citations
- Active structural vibration control A review,
Rabih Alkhatib, The Shock and Vibration Digest,
Vol. 35, No. 5, 367-383 (2003) - http//svd.sagepub.com/cgi/content/abstract/35/5/3
67?maxtoshowHITS10hits10RESULTFORMATsearch
id1FIRSTINDEX0minscore5000resourcetypeHWCIT
25Intelligent Materials Centers are springing up
everywhere
- http//www.cimss.vt.edu/
- http//depts.washington.edu/cims/about2.htm
- And have their own journals
- http//www.sagepub.com/journalsProdDesc.nav?prodId
Journal201582
26Phase transition to spectacular
- The only valid time when above the law
actually works, in total submission to a
higher-order law thats all that and more. - We no longer have 500 dots to connect, but a
single graceful curve that fills in all the dots
and is 1000 times easier to remember.
27Take home message
- This effect cannot be accomplished with
stronger joints. Ever stronger and heavier
joints still wont work, but will instead
collapse under their own added weight. - Strong is a system property, not a joint
property. - It wont just emerge, but needs only a
light-touch from some system that has the big
picture - It will not happen without that guiding context.
28Threat and Error Management
- Links to BMJ, and latest wisdom in how to manage
cockpits and operating rooms - http//cscwteam.blogspot.com/2006/09/threat-and-er
ror-management-tem_05.html
29High-Reliability Organizations
- "Organizational Learning From Experience in
High-Hazard Industries Problem Investigation as
Off-Line Reflective Practice", on the MIS Sloan
School of Management Working paper site (Working
paper 4359-02, March 2002). It is by John S.
Carroll, Jenny W. Rudolph, and Sachi
Hatakenaka.It's on the Social Science Research
Network Electronic Paper Collection
athttp//papers.ssrn.com/sol3/papers.cfm?abstract
_id305718