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David Harris's avatar

The brilliant Kathryn Schulz wrote a book, "Being Wrong," that very much touched on the part of the post about the value of coming clean. In particular, I think of how she details Beth Israel Deaconess Medical Center's policy of issuing exhaustive reports on their errors.

Note this section. "The instant the patient drew attention to the mistake, the surgeon realized what had happened, explained it as thoroughly as possible, and - although the act must have felt woefully inadequate - apologized. He then contacted the chief of his department and Paul Levy, the hospital's CEO, and told them about the situation. Reviewing the case, Levy and other BIDMC higher-ups decided that the mistake was serious enough that both the hospital and the community it served deserved to know what had happened. In very short order, they emailed the entire hospital staff - some 5,000 people - and sent a press release about the incident to local media outlets.

"Needless to say, this uncommon reaction didn't come out of nowhere. In Januray 2008, six months before the botched surgery, Levy, his board, and his staff made a kind of New Year's Resolution: by January 1, 2012, they would eliminate all preventable medical harm....."

Later in the chapter, Schulz writes, "So we can't catch all our errors, or catch up to error in general. Nor, however, can we give up the chase, since the price of doing so - in lives, money, and sheer folly - is simply too steep. Our only choice, then, is to keep living with wrongness, in all its strangely evasive omnipresence."

As you can see, Schulz does not believe the way to avoid error is to deny it.

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David Harris's avatar

Detail can also drive you batty, so if we think we have an above-average ability to detect errors, we must come up with a narrative for that that isn't wholly depressing. Even just thinking that we somehow just have the skill isn't reassuring. It doesn't seem like a lot to latch on to, doesn't give us confidence we will catch all the errors we want to. We are at least somewhat ahead of the game if we painstakingly read everything in front of us, if we don't cut corners. But there is more a feeling of invincibility if we are able to analyze a situation and cross-check to find errors. That's one reason I like statistics. When I find errors, it's not because I see them, per se, it's because I am looking at something else, tangentially related, and say, "Wait a second...."

There's nor real trick to noticing the wrong year that has to do with working smarter, that I can see. I mean, I guess one could argue that those who think about the New Year more, who are generally cognizant of the outside world, would be more likely to catch it, but it's mostly just about reading everything in front of them and about dumb luck. And reading everything can be really tedious. I'm not going to say there haven't been times that I checked thoroughly just because I had to, just because I was competitive, or afraid of my boss, or of the consequences if I missed that error. I'm not going to say that I haven't checked thoroughly sometimes hating it. But I prefer that not to be the case.

Catching that a New York Times edition wasn't the 50,000th seems less dehumanizing than spotting the wrong year on the masthead. One could have worked back and thought about the question and questioned the accuracy. I know I'm not the only person who thinks sometimes in terms of the number of days that have passed, who is familiar with that metric. A friend and I both independently talked about our excitement as we approached our 10,000th day, for example.

I'm very surprised by the current averred low rate of New Year's Resolutions. When people ask me what mine will be, they always seem shocked that I won't be making one, and that I don't approve of the idea. I guess I should be hanging out with Inside Edge people.

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