Date: 22/06/2013 00:48:30
From: Rule 303
ID: 334512
Subject: Barriers to Best Practice

I am finding that I am increasingly interested in this subject within the various stuff that I concern myself – Amd I’m wondering if there’s not some common themes across all human activity.

Please tell me, what are the barriers, the things that frustrate the hell out of you, in your field?

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Date: 22/06/2013 00:50:03
From: roughbarked
ID: 334515
Subject: re: Barriers to Best Practice

Rule 303 said:


I am finding that I am increasingly interested in this subject within the various stuff that I concern myself – Amd I’m wondering if there’s not some common themes across all human activity.

Please tell me, what are the barriers, the things that frustrate the hell out of you, in your field?

brain activity.

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Date: 22/06/2013 00:53:30
From: Angus Prune
ID: 334518
Subject: re: Barriers to Best Practice

One thing that annoys people around me is when something that a person thinks is sub-optimal lies within someone else’s sphere of responsibility/authority. So that’s differing opinions on what is best practice, and not being allowed to “fix” it.

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Date: 22/06/2013 01:14:51
From: Rule 303
ID: 334526
Subject: re: Barriers to Best Practice

AP, I am curious to know what you think might happen if you did ‘fix it’.

Might I be cheeky enough to suggest that the ‘personality conflict’ designation is a barrier in and of itself?

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Date: 22/06/2013 01:17:31
From: roughbarked
ID: 334527
Subject: re: Barriers to Best Practice

Rule 303 said:


AP, I am curious to know what you think might happen if you did ‘fix it’.

Might I be cheeky enough to suggest that the ‘personality conflict’ designation is a barrier in and of itself?

I wouldn’t see that as a ‘cheeky’ proposition.. T me.. facts are facts.. if I’m aware of them.

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Date: 22/06/2013 01:25:14
From: roughbarked
ID: 334530
Subject: re: Barriers to Best Practice

roughbarked said:


Rule 303 said:

AP, I am curious to know what you think might happen if you did ‘fix it’.

Might I be cheeky enough to suggest that the ‘personality conflict’ designation is a barrier in and of itself?

I wouldn’t see that as a ‘cheeky’ proposition.. T me.. facts are facts.. if I’m aware of them.

Today, after they broke the tractor, they wanted to pick up the trees that had been dug, He backed up to the trailer.. I said, you’ll need two pins.. when he went to get a bolt to hold the swinging arm.. He came bac sating there’s a pin there on the back of the tractor for what you want.. I replied with ..“yeah it will go through the swinging arm.. if only it goes through the trailers tongue..” yeah.. he had to walk back to the shed..

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Date: 22/06/2013 01:28:43
From: Rule 303
ID: 334533
Subject: re: Barriers to Best Practice

roughbarked said:

yeah.. he had to walk back to the shed..

Sooo… Incompetence?

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Date: 22/06/2013 01:30:15
From: roughbarked
ID: 334535
Subject: re: Barriers to Best Practice

Rule 303 said:


roughbarked said:
yeah.. he had to walk back to the shed..

Sooo… Incompetence?

He’s the farm manager. tractor driver and bookkeeper

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Date: 22/06/2013 01:31:51
From: roughbarked
ID: 334536
Subject: re: Barriers to Best Practice

roughbarked said:


Rule 303 said:

roughbarked said:
yeah.. he had to walk back to the shed..

Sooo… Incompetence?

He’s the farm manager. tractor driver and bookkeeper

I’m only the grafter.

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Date: 22/06/2013 01:54:26
From: Rule 303
ID: 334543
Subject: re: Barriers to Best Practice

roughbarked said:

He’s the farm manager. tractor driver and bookkeeper

I’ll take that as “yes”

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Date: 22/06/2013 01:59:53
From: roughbarked
ID: 334545
Subject: re: Barriers to Best Practice

Rule 303 said:


roughbarked said:
He’s the farm manager. tractor driver and bookkeeper

I’ll take that as “yes”

indeed you may.

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Date: 22/06/2013 02:01:30
From: morrie
ID: 334546
Subject: re: Barriers to Best Practice

Rule 303 said:


I am finding that I am increasingly interested in this subject within the various stuff that I concern myself – Amd I’m wondering if there’s not some common themes across all human activity.

Please tell me, what are the barriers, the things that frustrate the hell out of you, in your field?


Misconceptions, based on plausible, but incorrect, assumptions which are so appealing that they are hard to overturn.

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Date: 22/06/2013 02:03:32
From: roughbarked
ID: 334548
Subject: re: Barriers to Best Practice

morrie said:


Rule 303 said:

I am finding that I am increasingly interested in this subject within the various stuff that I concern myself – Amd I’m wondering if there’s not some common themes across all human activity.

Please tell me, what are the barriers, the things that frustrate the hell out of you, in your field?


Misconceptions, based on plausible, but incorrect, assumptions which are so appealing that they are hard to overturn.

unless overconfidence causes your worker to make you walk back to the shed for another pin..

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Date: 22/06/2013 02:05:20
From: morrie
ID: 334549
Subject: re: Barriers to Best Practice

2. The appeal of instant answers, delivered by people gifted in delivering a plausible line of bullshit, over the application of data measurement, analysis, hypothesis and investigation, aka the scientific method.

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Date: 22/06/2013 02:07:11
From: roughbarked
ID: 334550
Subject: re: Barriers to Best Practice

morrie said:


2. The appeal of instant answers, delivered by people gifted in delivering a plausible line of bullshit, over the application of data measurement, analysis, hypothesis and investigation, aka the scientific method.

newdress

stop talking about me like that .. ;)

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Date: 22/06/2013 09:36:42
From: Angus Prune
ID: 334626
Subject: re: Barriers to Best Practice

Rule 303 said:


AP, I am curious to know what you think might happen if you did ‘fix it’.

Might I be cheeky enough to suggest that the ‘personality conflict’ designation is a barrier in and of itself?

Someone would throw a tanty about their system being mucked up. Most of that happens a couple of levels up from me in the hierarchy, so it doesn’t affect me much directly.

Mind you, miscommunication could be an issue when you’ve got four or five different nationalities working together with them all speaking english as a second or third language….

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Date: 22/06/2013 10:07:02
From: Teleost
ID: 334642
Subject: re: Barriers to Best Practice

Rule 303 said:


Please tell me, what are the barriers, the things that frustrate the hell out of you, in your field?

Upper management and their failure to understand the time and resources needed to accomplish a given task.

Upper management and their attitude towards well trained and previously enthusiastic staff.

Upper management and their appalling belief that untrained, inexperienced outsourced staff that have no personal investment in a project will somehow be more cost effective and more productive.

Unfortunately in my field, this isn’t something that will change until there is a change of government. and policy.

I had a hard week. Thanks for the opportunity to have a whinge.

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Date: 22/06/2013 10:20:08
From: roughbarked
ID: 334653
Subject: re: Barriers to Best Practice

Teleost said:


Rule 303 said:

Please tell me, what are the barriers, the things that frustrate the hell out of you, in your field?

Upper management and their failure to understand the time and resources needed to accomplish a given task.

Upper management and their attitude towards well trained and previously enthusiastic staff.

Upper management and their appalling belief that untrained, inexperienced outsourced staff that have no personal investment in a project will somehow be more cost effective and more productive.

Unfortunately in my field, this isn’t something that will change until there is a change of government. and policy.

I had a hard week. Thanks for the opportunity to have a whinge.

that sounds like something that could come out of my mouth

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Date: 22/06/2013 10:21:57
From: roughbarked
ID: 334656
Subject: re: Barriers to Best Practice

Angus Prune said:


Rule 303 said:

AP, I am curious to know what you think might happen if you did ‘fix it’.

Might I be cheeky enough to suggest that the ‘personality conflict’ designation is a barrier in and of itself?

Someone would throw a tanty about their system being mucked up. Most of that happens a couple of levels up from me in the hierarchy, so it doesn’t affect me much directly.

Mind you, miscommunication could be an issue when you’ve got four or five different nationalities working together with them all speaking english as a second or third language….

around here they simply ignore the Inglese. Other than to throw taunts at us.

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Date: 22/06/2013 10:25:48
From: Arts
ID: 334657
Subject: re: Barriers to Best Practice

what frustrating days you all have…

is there any happiness or contentment at workplaces these days?

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Date: 22/06/2013 10:27:46
From: Divine Angel
ID: 334661
Subject: re: Barriers to Best Practice

Arts said:


what frustrating days you all have…

is there any happiness or contentment at workplaces these days?

I like the people I work with, and my boss is awesome. The other stuff, smile and remember you get to go home at the end of the day.

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Date: 22/06/2013 10:34:33
From: roughbarked
ID: 334666
Subject: re: Barriers to Best Practice

Divine Angel said:


Arts said:

what frustrating days you all have…

is there any happiness or contentment at workplaces these days?

I like the people I work with, and my boss is awesome. The other stuff, smile and remember you get to go home at the end of the day.


If my boss was awesome, I’d be tempted to take her home with me.

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Date: 22/06/2013 10:45:10
From: captain_spalding
ID: 334676
Subject: re: Barriers to Best Practice

I get fed up with demands for ‘evidence-based’ ideas.

“Where’s the evidence base to show we should do that?”, they howl.

Well, there isn’t any. Let’s try it, and see if it works. Then, we’ll have some evidence.

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Date: 22/06/2013 11:45:50
From: poikilotherm
ID: 334691
Subject: re: Barriers to Best Practice

captain_spalding said:


I get fed up with demands for ‘evidence-based’ ideas.

“Where’s the evidence base to show we should do that?”, they howl.

Well, there isn’t any. Let’s try it, and see if it works. Then, we’ll have some evidence.

+1, I think some of the EB brigade take it too literal and too far.

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Date: 22/06/2013 11:55:26
From: captain_spalding
ID: 334698
Subject: re: Barriers to Best Practice

poikilotherm said:


captain_spalding said:

I get fed up with demands for ‘evidence-based’ ideas.

“Where’s the evidence base to show we should do that?”, they howl.

Well, there isn’t any. Let’s try it, and see if it works. Then, we’ll have some evidence.

+1, I think some of the EB brigade take it too literal and too far.

Yes. Unless it’s been tried and proven elsewhere, we dare not think of doing it here.

Originality? Innovation? Never heard of them.

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Date: 22/06/2013 13:15:12
From: buffy
ID: 334735
Subject: re: Barriers to Best Practice

And me too on the evidence based thing. I trained before there was a name for that, and it was just called clinical experience before.

And in my para medical field, I’m getting very sick of people just ordering more and more tests. We really need to stop and think……will the result of this test in any way change the action we are going to take to fix/ameliorate the condition. If the answer is no, then skip that test. Please. This is why medicine is becoming such a money sink. Use your initiative and your intuition…..and be brave enough to make a decision for goodness sake.

Maybe it’s just as I’ve got older that I am happier to take responsibility. But I think I understood I had to do it from pretty early on. I have my particular skill and knowledge set and it is my responsibility to apply it.

>>is there any happiness or contentment at workplaces these days?<<

Yes, there is in mine. Both me and my receptionist/assistant/Girl Friday, whatever we should call her. We’ve been working together over 25 years, we can read each other pretty well, and we know the vast proportion of the patients very well. (Quite a few of them are rellies of hers!) I can’t say I was always this sanguine (DA!!!) but it’s a very nice place to be.

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Date: 22/06/2013 13:28:12
From: captain_spalding
ID: 334739
Subject: re: Barriers to Best Practice

buffy said:

Use your initiative and your intuition…..and be brave enough to make a decision for goodness sake.

That’s what a lot of the EB crowd are about: bum-coverage.

The ability, in the case of a stuff-up, to point to someone else, and say “we only did it because THEY said it was a good idea”.

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Date: 22/06/2013 13:30:13
From: buffy
ID: 334741
Subject: re: Barriers to Best Practice

Yep, that’s the one:

>>bum-coverage.<<

It’s also why we have professional indemnity insurance.

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Date: 22/06/2013 13:34:39
From: morrie
ID: 334745
Subject: re: Barriers to Best Practice

>Use your initiative and your intuition…..and be brave enough to make a decision for goodness sake.

Yes, and no.

In a large group situation, the pushiest person will always get their way using this approach. Unfortunately, they are not always correct and this can lead to an endless cycle of poor outcomes. Sometimes things that seem intuitively correct are not. It is only by actually collecting some data and analysing it that new approaches can be developed. I fight this battle all the time.

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Date: 22/06/2013 13:34:56
From: poikilotherm
ID: 334746
Subject: re: Barriers to Best Practice

buffy said:

Yep, that’s the one:

>>bum-coverage.<<

It’s also why we have professional indemnity insurance.

So its more a litigation than EB problem?

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Date: 22/06/2013 13:39:47
From: buffy
ID: 334750
Subject: re: Barriers to Best Practice

I think a lot of it is arse covering poikilotherm. There have been major advances in cataract surgery and recently in the treatment of macular degeneration. But there has actually been a lot of serendipity involved, as there often is in medical advances. That has not changed in the 15 years we have had ‘evidence based medicine’.

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Date: 22/06/2013 13:45:59
From: poikilotherm
ID: 334756
Subject: re: Barriers to Best Practice

buffy said:

I think a lot of it is arse covering poikilotherm. There have been major advances in cataract surgery and recently in the treatment of macular degeneration. But there has actually been a lot of serendipity involved, as there often is in medical advances. That has not changed in the 15 years we have had ‘evidence based medicine’.

Naturally, remember EB was meant to be studies + experience, the second bit seems to be forgotten.

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Date: 22/06/2013 13:50:22
From: Michael V
ID: 334760
Subject: re: Barriers to Best Practice

What is EB?

(Initialisation was introduced without definition.)

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Date: 22/06/2013 13:51:36
From: poikilotherm
ID: 334762
Subject: re: Barriers to Best Practice

Michael V said:


What is EB?

(Initialisation was introduced without definition.)

Evidence Based (insert occupation here)

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Date: 22/06/2013 13:53:08
From: Michael V
ID: 334763
Subject: re: Barriers to Best Practice

poikilotherm said:


Michael V said:

What is EB?

(Initialisation was introduced without definition.)

Evidence Based (insert occupation here)

.

Thanks. :)

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Date: 22/06/2013 13:54:57
From: morrie
ID: 334768
Subject: re: Barriers to Best Practice

poikilotherm said:


Michael V said:

What is EB?

(Initialisation was introduced without definition.)

Evidence Based (insert occupation here)


Drillers as opposed to dowsers.

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Date: 22/06/2013 14:00:08
From: sibeen
ID: 334774
Subject: re: Barriers to Best Practice

Senior and middle management who wouldn’t have a clue how to find their arse with a map.

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Date: 22/06/2013 14:27:05
From: roughbarked
ID: 334784
Subject: re: Barriers to Best Practice

sibeen said:


Senior and middle management who wouldn’t have a clue how to find their arse with a map.

with a GPS they can still get lost.

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Date: 22/06/2013 17:33:41
From: esselte
ID: 334887
Subject: re: Barriers to Best Practice

Rule 303 said:

Please tell me, what are the barriers, the things that frustrate the hell out of you, in your field?

Bosses who think their success and experience is triumphant over any other contributions.

The Dunning-Kruger effect.

A lack of empirical research, or a lack of application of empirical research, confidently applied to speculation.

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