When senior leaders consistently make good decisions, little else matters; when they make bad decisions, nothing else matters. Effective decision-making stands at the center of executive leadership and organizational success. As leaders climb the ladder to top positions, others call on them regularly to solve problems and occasionally to make decisions. At the top, these two critical functions define most of a leader’s day—the crucibles of destiny—the leader’s and the organization’s. Each time leaders engage in either, they stand at a pivot—a turning point that will take the company in directions that will contribute to success or demise.