From Michael Lopp:

The curse of any effective task management system is that you get really good at capturing, prioritizing, and executing tasks. To the point that you start to believe that merely completing a task is helping your career. After a solid decade of rampant task management, I realized I needed to augment tasks with a system that would strategically guide and remind me that my job was not to do things, but to remember the interesting words in my title: manager, engineering, and products. That’s what I do.

The solution to being buried in minutia he calls the Trickle List, and it looks like this:

(Via Rands In Repose.)