%% [[Doing]] people:: #people/jennyrudolph | #people/bradleymorrison # Action Oriented Problem Solving Lon Setnik dates:: 2022-10-26 %% *The interplay between action, data collection, and sense-making becomes out of balance when disconfirming data is not viewed as such (fixation) or when not enough data is collected to discard wrong ideas (vagabonding).* This reminds me of [[Naturalistic decision-making]] in that small tests occur to decide, in naturalistic decision-making those small tests are mental simulations, in action-oriented problem solving, those small tests are attempts to confirm or disconfirm based on evidence. It's kind of like [[all models are wrong but some are useful]], this is a "wrong but useful" model. What is action oriented problem solving? It is a model of problem solving: What is useful? It does show how time pressure, interpretation of cues, action vs inaction, ability to generate a list, and other factors enter into one's ability to solve problems in real time. ![[CleanShot 2022-10-26 at 08.43.32.jpg]]# ### why does it matter? A real world example from Lon: Blunt trauma patient is in acute physiologic decline, about to box. What do we do? Treat and reassess. - Intubate: was it the airway? Nope. Next! - Bilateral chest thoracostomy: was it the tension pneumothorax? Nope. Next! - Pelvic binder, search for bleeding, give blood: Was it circulatory? Maybe. - FAST: can we find blood in the belly? Nope, do we think retroperitoneum? Nope. Do we find pericardial tamponade? - there's an effusion -> Let's crack the chest. Ways to improve the likelihood of the best problem-solving approach happening? - Improved task design - training around likely scenarios - awareness - improve self awareness ### What would the opposite argument be? What is wrong? Simulation could never create the ambiguity of the real world. Or could it create enough ambiguity to learn how we deal with it? %% tags: #note/idea | #on/decisions | #on/problemsolving | #on/action %% ## Sources: Rudolph, J. W., Morrison, J. B., & Carroll, J. S. (2009). THE DYNAMICS OF ACTION-ORIENTED PROBLEM SOLVING: LINKING INTERPRETATION AND CHOICE. _Academy of Management Review_, 24.