Getting Our House In Order
Newsletter
Hey friends,
Last week, I made a mistake at work. My consultant asked me to check the dosing instructions of two anti-psychotic medications that a patient (āHarryā) had been given while he was in Intensive Care, and that he needed to be weaned off now that he was on our normal ward. I said āno problemā, noted the task on my patient list (a piece of paper with patient data on it) and intended to get to it later that day.
When I came to doing the task, I got Harry mixed up with another patient (āRonā) and spent 10 minutes figuring out Ronās antipsychotic medication weaning scheme instead. I thought it was a bit strange that Ron was only on 1 antipsychotic drug rather than 2, but I assumed the consultant hadnāt realised this and went on with my life.
Later that afternoon, the consultant happened to see me on the ward and asked āHave we figured out the weaning doses for Harryās meds?ā. I was very confused for a few seconds until everything clicked in my head. āAh crap I’m sorry, I got Harry and Ron mixed up in my head, Iāll check Harryās dosing nowā.
Everything worked out okay in the end, but I was annoyed at myself for getting the patients mixed up. I thought about why it happened, and figured out pretty quickly what the problem was.
The Problem
See, that morning Iād forgotten to pack my pen in my bag. Iād arrived on the ward, picked up a printed patient list, and found some random thick pencil lying around. I thought āitās not a big deal, Iāll just use this pencil todayā.
By mid-morning, my sheet (which is usually quite tidy) was a mess of pencil scrawls. Because I couldnāt clearly keep track of my list on paper, I ended up juggling stuff in my head, using my brain as a storage device rather than a thinking device. When the new information about these anti-psychotic medications came in, I wrote it down correctly on the piece of paper (āHarry – check weaning dosesā) but because the whole sheet was a mess, my brain had to take on the extra cognitive burden of keeping things organised, and mismatched the task to Ron.
The Solution – GOHIO
The following day, I made sure to pack my pen and kept my to-do list neat throughout the day. I even spent 5 minutes transferring my annotations from one sheet to the next when we updated and printed a new list in the afternoon. That day, everything felt more manageable, less manic and nothing slipped through the net.
In the early days of Amazon, in the year before they first hit $1 billion in revenue, Jeff Bezos instigated a year-long policy of āGetting Our House In Orderā (āGOHIOā). He knew that at the $1bn mark, companies often struggled, partly because the systems that worked well when they were smaller became bloated and less fit-for-purpose. Spending a year focusing on GOHIO, on updating their internal systems so that they worked better, on organising their structure and products to be more streamlined, worked wonders, and allowed Amazon to grow into the behemoth that it is today.
I came across the story of GOHIO in a podcast the same week that I made the anti-psychotic dosing mixup. Now, whenever I find myself getting even slightly overwhelmed by the amount of stuff I need to do, or if I realise that my list isnāt as organised as it should be, I spend a few minutes on GOHIO – Getting our house in order.
Have a great week!
Ali
This weekās podcast
Not Overthinking | 015 – Ali’s Journey on YouTube [Inbetweenasode] | Episode 15
This ‘inbetweenasode’ is an interview that Ali did on the Social Colours podcast: ‘Journey of a Creator’. They talk about how he got started with YouTube, the strategy behind growing his channel, and his inspirations along the way. They also share some thoughts about the motivation and consistency it takes to keep a YouTube channel alive and growing. Enjoy!
Stuff I enjoyed this week
1 – PodcastĀ – I recently discovered theĀ Rad AwakeningsĀ podcast, and found my favourite productivity guruĀ Tiago ForteĀ on two episodes of it! If you’re into the productivity / creator thing you’ll love listening toĀ episode 1Ā andĀ episode 52.
2 – BookĀ – I started readingĀ The Third DoorĀ by Alex Banayan. The tagline isĀ the wild quest to uncover how the world’s most successful people launched their careers. It definitely passes the ‘made me stay up till 4am reading’ test.
3 – NotebookĀ – I’ve continued to enjoy my purchase of theĀ Leuchtterm 1917 A5 dotted notebook. I write in it almost every day, and I find that my ideas are much more free-flowing on paper than they are even on an iPad Pro + Apple Pencil combo.
Kindle Highlight of the Week
Scott helped me refocus, to use his language, on āsystemsā instead of āgoals.ā This involves choosing projects and habits that, even if they result in āfailuresā in the eyes of the outside world, give you transferable skills or relationships. In other words, you choose options that allow you to inevitably āsucceedā over time, as you build assets that carry over to subsequent projects.”
FromĀ Tools of TitansĀ by Tim Ferriss.