Decision workshop & common failures
Learning objectives
- Compare alternative responses to a difficult scene.
- Recognize an assumption before it becomes an incorrect decision.
- Explain why the best response is appropriate for the evidence available.
Good decisions depend on the situation, not just a memorized phrase. This workshop revisits three realistic coordination problems in Patient Communication. Work through the cases before revealing the model response. You are looking for a defensible decision that stays within your role and helps the other participants understand what happens next.
Case 1: assess, decide, communicate
A patient character answers with a long story and several unrelated details.
Recommended approach: Summarize the fictional concern in one sentence, ask whether you understood correctly, and invite a correction before proposing the next scene.
Reasoning: A summary checks understanding; it should not remove details that the other player considers important. Before acting, check whether any relevant detail has changed since the report was made. Explain your next step to the people affected and confirm the receiving player understands their part. If the decision belongs to someone else, provide a concise escalation rather than pretending your role has greater authority.
Case 2: assess, decide, communicate
Another player types an action that controls the patient character’s response without asking.
Recommended approach: Pause the action and ask the patient player what response they want to portray. Offer a choice of scene directions.
Reasoning: Players control their own characters. A suggestion becomes part of the shared story only when participants accept it. Before acting, check whether any relevant detail has changed since the report was made. Explain your next step to the people affected and confirm the receiving player understands their part. If the decision belongs to someone else, provide a concise escalation rather than pretending your role has greater authority.
Case 3: assess, decide, communicate
You hand a scene to a teammate who repeats a different room and a different next step.
Recommended approach: Correct the specific difference, give a concise handoff again, and ask the teammate to confirm the revised version.
Reasoning: A handoff is a two-way exchange. Sending a message is not evidence that its meaning was received. Before acting, check whether any relevant detail has changed since the report was made. Explain your next step to the people affected and confirm the receiving player understands their part. If the decision belongs to someone else, provide a concise escalation rather than pretending your role has greater authority.
Decision workshop: compare the cost of each option
Return to the second case and compare three responses: act immediately, clarify first, or refer the decision to another owner. Acting immediately may be appropriate only when the required information and authority are already established. Clarifying is useful when a specific missing fact can change the response. Referral is appropriate when the decision belongs to someone else or the disagreement remains unresolved.
For this program, the model response is: Pause the action and ask the patient player what response they want to portray. Offer a choice of scene directions. The reason is: Players control their own characters. A suggestion becomes part of the shared story only when participants accept it. Explain why each alternative would fail under the facts supplied. Avoid reasoning such as “because that is the right answer.” Your explanation should name the missing agreement, unsupported assumption, incomplete evidence, or incorrect decision owner.
Change one fact and test your answer again. Suppose the relevant owner has already approved the action and every affected participant understands the current plan. Would the same pause still be necessary? Strong judgment responds to the changed condition. It does not mechanically repeat a preferred phrase regardless of the situation.
Make the next decision
Choose one case and imagine that the first clarification does not resolve the disagreement. One participant wants to continue immediately while another still disputes the shared situation.
Reveal the model response & reasoning
Response: State the remaining uncertainty, keep the disputed action paused, and involve the agreed scene lead or authorized reviewer. Offer a clear summary of the known details and the specific decision that remains open.
Why: Repeating the same instruction more forcefully does not resolve missing information or conflicting authority. Escalation should make the unresolved question easier for the right person to answer.
Independent practice
For each case, write one poor response and explain its consequence. Then write an improved response that identifies the missing information, the responsible role, and a clear next step. Compare your reasoning with the model responses.
Write your response in your own notes before reading on. Compare the action you chose, the information you preserved, and who owns the next step with the worked example. This practice is self-reviewed and is not submitted for marking.
Before you continue
- Did you rely on established facts rather than rank or popularity?
- Did your response preserve the participants’ agreed boundaries?
- Would your explanation allow another reviewer to understand your decision?
Check your understanding
Practice does not affect your exam score or issue a credential.