The real trick in highly reliable systems is somehow to achieve simultaneous centralization and decentralization..

A small win is a concrete, complete, implemented outcome of moderate importance. By itself, one small win may seem unimportant. A series of wins at s….

Simply pushing harder within the old boundaries will not do..

Generalists, people with moderately strong attachments to many ideas, should be hard to interrupt, and once interrupted, should have weaker, shorter ….

Being naive simply means that we reject received wisdom that something is a problem. We are always naive relative to some definition of the situation….

Managers construct, rearrange, single out, and demolish many 'objective' features of their surroundings. When people act they unrandomize variables, ….

Specifically, I would suggest that the effective organization is garrulous, clumsy, superstitious, hypocritical, monstrous, octopoid, wandering, and ….

If people have multiple identities and deal with multiple realities, why should we expect them to be ontological purists?.

Your beliefs are cause maps that you impose on the world, after which you 'see' what you have already imposed..

Rank and expertise do not necessarily coincide..