@ChrisMayLA6@mastodon.me.uk the drive for "efficiency " has led some to confuse efficiency with effectiveness. Efficient may be that the resource - staff time and equipment is used to its maximum, and so reducing the time / equipment - cost, to a minimum to achieve max output per unit. Effectiveness, of course may rely on people and equipment having downtime. Having more than is needed for the baseline, allowing for improvement, experts who aren't exhausted, so diagnose and operate well. Better outcomes.