At-will employment

The default rule across almost all US states is that either party may end the employment relationship at any time, for any reason that is not illegal, without notice. Whatever else it does, it makes staffing decisions fast. A manager who wants to change a team can change it this week.

The golden hour

American trauma medicine is built around the idea that the first hour after serious injury determines survival. R Adams Cowley in Baltimore made it doctrine, and the US trauma system — helicopters, designated trauma centres, rapid transport — was designed around it.

Researchers have since questioned whether sixty minutes is a meaningful threshold. The system it produced is real regardless, and it was built on the premise that speed is the treatment.

Bystander CPR

American public health has spent decades training ordinary people to start chest compressions immediately rather than wait for professionals, and has simplified the instruction repeatedly to lower the barrier to starting. The campaign is not about doing it well. It is about doing it now.

Action items

The American meeting produces action items, and a meeting that produces none is described as having gone nowhere. Not conclusions, not understandings, not positions. Items — countable, assigned, with a name next to each.

Bias toward action

Named as a virtue and used in hiring and promotion. Amazon lists it among its leadership principles: speed matters in business, and many decisions are reversible and do not need extensive study. The word bias is chosen deliberately — it concedes that the tendency is not neutral, and recommends it anyway.

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