QI 101 Lesson 4: How to Get from Here to There: Changing Systems
Have you ever drained your car battery by leaving the headlights on? You probably swore you’d be extra careful and never do it again. And then, of course, you did. Sure, you messed up. But the people who designed the car should have anticipated that. In this lesson, you’ll learn how changing the system — not the person who made the mistake — is the best way to prevent most errors. You’ll also learn a four-step framework to help you think about improving a complex system.
Estimated Time of Completion: 20 minutes
Learning Objectives
After completing this lesson, you will be able to:
1. Explain how “pure” and “applied science” differ and the challenges of applied science as they relate to health care.
2. Discuss Deming’s System of Profound Knowledge, including its four major components — appreciation of a system, understanding variation, theory of knowledge, and psychology (human behavior).
3. Use Deming’s framework to start planning an improvement project.
Robert Lloyd, PhD, Vice President, Institute for Healthcare Improvement View Profile
Sandy Murray, MA, Improvement Advisor, CT Concepts View Profile
Lloyd Provost, MS, Statistician, Associates in Process Improvement View Profile
Laura Fink, Senior Managing Editor, Institute for Healthcare Improvement View Profile
Jane Roessner, PhD, Writer, Institute for Healthcare Improvement View Profile
You must be a registered IHI.org user to take this lesson.
You must achieve a minimum score of 75% to successfully complete this lesson.