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Ep. 029: Decision Paralysis: Why Smart Leaders Make Bad Calls

Bred To Lead · Dr. Jake Tayler Jacobs

Feb 17, 2025 · 43 min

Show notes

INDECISION IS A DECISION, USUALLY THE WORST ONE

At Johns Hopkins All Children's Hospital, the pediatric heart surgery program saw mortality rates three times the national average while frontline staff raised alarms and leadership delayed. Dr. Jake Tayler Jacobs unpacks what he calls prestige paralysis, the trap where protecting a reputation matters more than solving the problem, and the nearly $43 million in settlements that followed.

IN THIS EPISODE

• The four causes of decision paralysis: the reputation shield, the data paradox, the expertise trap, and the hierarchical filter

• The Love…

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