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Managing Complexity and Uncertainties

by Lam Chuan Leong

Last updated 23 July 2026
A bright orange life ring with white stripes floats on deep blue water, attached to a rope.

RISKS OF COGNITIVE FRAGMENTATION

“During an operation, the surgeon decides to lower the patient’s blood pressure. He directs the anaesthesiologist to give the patient a drug that will have this effect, but does not explain what he is trying to accomplish. The anaesthesiologist gives the drug, notes that the patient’s blood pressure goes down, and boosts the level of another drug that will increase the blood pressure. To the anaesthesiologist, this is standard operating procedure to keep the patient’s vital signs stable. The surgeon notes that the blood pressure is higher than he wants and directs the anaesthesiologist to increase the dosage of the first drug. The anaesthesiologist follows the request, watches for the blood pressure to reduce, and then boosts the drug that will return the blood pressure to its normal level. This cycle continues until the patient ends the game by dying.”

RISK MANAGEMENT AS POLICY

BEYOND SCENARIO PLANNING

THE NEED FOR CONTINGENT EXECUTION CAPABILITY

CONCLUSION: EXPECT THE UNEXPECTED