If we do not release, that is only a business risk.
A radiopharma reflection on why non-delivery is not merely a commercial consequence, and why quality, safety and delivery must be designed into the same reliable system.
Read the reflectionA series on reflection
What Am I Missing?
A curated series to challenge assumptions, reframe perspectives and surface what is not on your radar.
Latest published reflection · 013
If we do not release, that is only a business risk.
A radiopharma reflection on why non-delivery is not merely a commercial consequence, and why quality, safety and delivery must be designed into the same reliable system.
012
Why are we asking someone to pull the lever?
011
Do we still know why this control exists?
010
When a temporary control becomes permanent.
Recent reflections
Questions that keep the system visible.
Why are we asking someone to pull the lever?
A real-life radiopharmacy dilemma about design choices, time pressure and the responsibility to remove avoidable conflicts from the process.
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Do we still know why this control exists?
Controls can outlive the reason they were created. Purpose, ownership and independence still need to be visible.
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When a temporary control becomes permanent.
A sensible temporary control can become permanent simply because nobody asks when its job is finished.
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Looking for what isn’t there
Sometimes the strongest signal is an absence: the thing the system says should be there, but reality does not show.
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Being right is not enough.
Technical correctness does not automatically create a good decision. The way expertise is connected and communicated matters too.
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Licence to Change Your Mind
Professional judgement includes the ability to change a decision when the evidence changes.
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When We Notice — But Don’t Raise It
Weak signals only help if somebody feels able to raise them. This reflection looks at the gap between noticing and acting.
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Design Qualification is not a document. It's a conversation.
Design Qualification becomes useful when it is treated as a decision conversation about intended use, not a document produced after the important choices are already made.
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The book I couldn't put down
A reflection on perspective, curiosity and what changes when we deliberately look through a different lens.
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Experience creates blind spots
Experience helps us see patterns quickly. It can also make familiar assumptions harder to notice.
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The Connection Nobody Checked
A reflection on interfaces, ownership and the connections that can fail even when every individual function appears to work.
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Everyone was discussing the project. Nobody was discussing what came next.
Projects end. Operations do not. This reflection asks what happens after handover, when the real process starts to live.
Read the reflectionSpecial reflection · GRPW2026
A story outside the room
An event-specific reflection about assumptions, evidence and what changes when we go back to what actually happened rather than what we think happened.
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The book
What Am I Missing?
The reflection series and the book share the same instinct: make reality visible early enough to do something useful with it.
About the book