Morrison, J. Bradley with Jenny Rudolph and John Carroll, "The Dynamics of Diagnosing: Virtuous and Vicious Cycles in the Operating Room", 2008 July 20-2008 July 24
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We develop a formal model of dynamic problem solving motivated by an example of doctors handling a medical emergency. The model links interpretation and choice, usually separated in the sensemaking and decision making literatures. Three insights emerge: (1) dynamic problem solving includes acting, interpreting, and cultivating diagnoses; (2) dynamic feedback among these processes opens and closes windows of adaptive problem solving; and (3) reinforcing feedback processes, usually considered dysfunctional, are essential for adaptive problem solving.