
Baron Joseph Lister (1827-1912), who discovered the importance of antiseptic procedures in surgery. Before his innovative work, infections were believed to be caused by airborne agents — "bad air." Surgeons were not required to wash hands or instruments between patients. Meanwhile, midwives, who at the time did wash hands and instruments, had been experiencing infant mortality rates much lower than surgeons. This fact went unexplained until Lister's work. Photo courtesy U.S. National Institutes of Health, from a collection entitled Images from the History of Medicine in the U.S. National Library of Medicine.
On October 14, 2011, the Apple iPhone 4S first became available for sale. Lines formed at Apple stores around the world, and pre-release sales of a million units broke all records for mobile phones. Though no buyers had yet seen it, they felt that the new phone was a welcome change.
On September 21, 1867, the British Medical Journal published a pioneering paper entitled, "On the Antiseptic Principle in the Practice of Surgery," by British surgeon Joseph Lister (1827-1912), in which he advocated sterilization of instruments to prevent infection following surgery. His methods were rapidly adopted throughout Britain. Not so in the United States. The failure of the U.S. medical community to embrace the changes Lister advocated was most unfortunate for President James Garfield, who, on July 2, 1881, was the victim of an assassination attempt in which two bullets struck him. Efforts by surgeons to trace one of the bullets, using their unwashed fingers and unsterilized instruments, led to massive infections. Garfield finally succumbed to a heart attack on September 19.
One change was overwhelmingly welcomed; the other shunned. Why? It's an important question, because our assessments of the net value of changes can be most unreliable. Here's Part I of a catalog of factors that can distort our assessment of changes.
- Inability to grasp circumstantial complexity
- All change involves both losses and gains, but between them there is a fundamental asymmetry. When we experience a loss, it's usually a loss of something we know well. When we experience a gain, it's usually a gain of something we don't yet fully appreciate. Because we don't have it, it's difficult to understand the full scope of its benefits.
- Like all circumstances, the full circumstances of the new status quo are complex. Until we fully adapt to the change, we tend to understand our losses more easily than our gains. That's one reason why our assessment of the net value of a coming change can tend to bias us against it.
- The seductiveness of simplicity
- Some changes appear All change involves both
losses and gains, but
between them there is a
fundamental asymmetrysimple. Whether by design or by happenstance, these changes seem to be minor, or they promise to simplify dramatically some parts of our lives. We tend to welcome these changes even before we understand their full implications. - The error we make here is confusing the change, which seems simple, with the circumstances surrounding the change, which are always complex. This error is responsible for many of the mishaps we call unintended consequences. For most systems, which are far more complex than we appreciate, changing one element can ripple through the system in ways we can understand only after the system demonstrates them to us.
In Part II, we'll examine how social factors can influence our assessment of the goodness of a change. Next issue in this series
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Even though the U.S. medical community spurned Lister's methods, some were convinced. In 1879, Listerine was first formulated. At the time, it was intended as a solution for sterilizing surgical instruments. For more about Joseph Lister, see his biography in Wikipedia. See Wikipedia also for more about Listerine. For the story of James Garfield, see the new book by Candice Millard: Destiny of the Republic: A Tale of Madness, Medicine and the Murder of a President.
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Related articles
More articles on Organizational Change:
Figuring Out What to Do First
- Whether we belong to a small project team or to an executive team, we have limited resources and seemingly
unlimited problems to deal with. How do we decide which problems are important? How do we decide where
to focus our attention first?
Coping with Problems
- How we cope with problems is a choice. When we choose our coping style, we help determine our ability
to address the problems we face. Of eight styles we can identify, only one is universally constructive,
and we rarely use it.
Names and Faces
- Most of us feel recognized, respected, and acknowledged when others use our names. And many of us have
difficulty remembering the names of others, especially those we don't know well. How can we get better
at connecting names and faces?
Confirmation Bias: Workplace Consequences: II
- We continue our exploration of confirmation bias. In this Part II, we explore its effects in management
processes.
Exploiting Functional Fixedness: I
- Functional fixedness is a cognitive bias that creates difficulty in seeing novel uses of things that
have familiar uses. Some devious moves in workplace politics exploit functional fixedness.
See also Organizational Change and Organizational Change for more related articles.
Forthcoming issues of Point Lookout
Coming February 26: Devious Political Tactics: Bad Decisions
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And on March 5: On Begging the Question
- Some of our most expensive wrong decisions have come about because we've tricked ourselves as we debated our options. The tricks sometimes arise from rhetorical fallacies that tangle our thinking. One of the trickiest is called Begging the Question. Available here and by RSS on March 5.
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