The Myth of Necessary Revolution

By Deane Barker

Sometimes, we don’t need to tear everything out and start over. Sometimes we just need to incrementally improve what’s already there.

Examples

Everything is broken, and it’s okay

But lots of imperfect things are still perfectly operational, including human bodies and many of our systems. This fact – that imperfect things still work – is integral to understanding how to prevent failures from escalating into catastrophes.

The Heroism of Incremental Care

I was drawn to medicine by the aura of heroism – by the chance to charge in and solve a dangerous problem. [But] success is not about the episodic, momentary victories. It is about the longer view of incremental steps that produce sustained progress.

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