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Letters to a Young Manager


The Triage Exercise, #609
LTYM > Crisis



Dear Adam,
***
I hear you that with the work demands increasing, you worry about delivering everything. When the work gets overwhelming, sometimes you need to do the triage exercise.

When I taught teaching Crisis Informatics, we had a group of students go over to the nursing school for a lab. We actually ran the triage exercise that nursing students experience. There were four different color tarps on the floor. The person who was in charge of nursing simulations, handed out lanyards that had what injury a person had on it. And then there was the intake crew that would then read your injury card, ask you some questions and then assign you to go stand on a particular tarp. So there were the most urgent attention needed (red tarp), the second most urgent (yellow tarp), there were the goners (black tarp), and there were the ones that were probably okay, with minor injuries (green tarp).

Sorting the work can be similar. What things can't you change? That goes to the black tarp. What things are most urgent and need to be attended to now? Those are on the red tarp. What tasks are next in line (Yellow tarp) and the green tarp was the walking wounded who could wait. Prioritization, as you well know, is a regular part of IT management and governance, because the demands always exceed the supply. But what you work on now may be a matter of survival. Your survival!
***
Sincerely yours,
Ed
________________________

References...

Takeaways:

Work demand can be triaged to focus on the most urgent first

Discussion Questions:

1) How do you say the "no" or the "wait" without creating Shadow IT?
2) Can the same approach be used to manage the deluge of information coming into your organization?
3) Is urgency the only deciding factor? What else may be considered?
4) Are the decision rules in a crisis different from normal times? How so?

For Further Reading:

1) See the START method of triage, which "was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California, and is currently widely used in the United States” --https://en.wikipedia.org/wiki/Simple_triage_and_rapid_treatment .




© Copyright 2005, 2024, E. G. Happ, All Rights Reserved.


The four-color START method is used in a disaster or mass-causality event, to determine who gets treatment when. [1]
  1. Most urgent, first priority (Red)
  2. Urgent, second priority (Yellow)
  3. Non-urgent, walking wounded (Green)
  4. Dead or little chance of survival (Black)

From the 10/22/20 Crisis Informatics class:
Applying this framework to Crisis information:
  1. What information can be ignored (green)?
  2. What information can wait till later (yellow)?
  3. What info requires immediate attention (red)?
  4. What information is too late (black)?

Are we building this process of triage into our information management systems?

From the 10/7/21 Crisis Informatics class [2]



[1] "This color-coded four-category system is probably the most common disaster/MCI triage system in the United States. “Red” casualties are the first priority and are “most urgent.” Patients classified “Yellow” are the second priority and are “urgent.” “Green” patients comprise the “walking wounded” or “nonurgent” and are the third priority. Dead patients and catastrophically injured patients with a negligible chance of survival belong to the “Black” triage category." --from "Simple Triage and Rapid Treatment" from: Ciottone's Disaster Medicine (Third Edition), Science Direct, 2024, https://www.sciencedirect.com/topics/medicine-and-dentistry/simple-triage-and-rapid-treatment#:~:text=One%20MCI%2Fdisaster%20triage%20tool,Rapid%20Treatment%20(START)%20technique.&text=This%20is%20based%20on%20a,immediate%20area%20of%20the%20incident.

[2] The diagram is here: https://www.researchgate.net/publication/309517953_Objective_triage_in_the_disaster_setting_Will_children_and_expecting_mothers_be_treated_like_others/figures?lo=1