All concepts

Parachute Paradigm

Situation where a common belief or practice is not properly scrutinized or tested because it is widely accepted and assumed to be effective, often leading to ineffective or even harmful outcomes.

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Origin

The idea crystallized around a tongue-in-cheek paper published in the BMJ on 20 December 2003. Gordon C. S. Smith and Jill Pell, from the University of Cambridge, performed a mock systematic review of randomized controlled trials of parachute use — finding, predictably, none existed. Their satire made a pointed argument that certain obvious interventions did not require the same evidentiary standard applied to pharmaceuticals.

Updated February 22, 2026