Problem-Solving by Learning From the Process

in Improvement Science, Knowledge, Systems, Tools & Methods, Variation

By David M. Williams, Ph.D. Photo by Bluehouse Skis on Unsplash Let’s face it…patient care documentation is not the most enjoyable aspect of clinical care delivery. It takes time, the electronic medical record isn’t user friendly, and caregivers have a lot going on. It’s no surprise improving clinical documentation is a common improvement opportunity for a […]

How Leaders Decide a Change is Needed

in Improvement Science, Knowledge, Leadership, Quality as an Organizational Strategy (QOS), Systems

By David M. Williams, Ph.D. Photo by Tetiana SHYSHKINA on Unsplash Have you ever searched your computer hard drive only to be surprised by the number of files and multiple versions of a similar theme? I have hundreds of Microsoft PowerPoint presentations from client engagements, trainings, and conferences I’ve delivered and dozens of Microsoft Word documents of blog […]

Control Charts – What’s in a name?

in Measurement, Tools & Methods, Variation

by David M. Williams, Ph.D. Provost & Murray. (2010). Health Care Data Guide. Figure 14.18. P. 127 Have you taken one of those silly quizzes on social media that ask you to answer several questions and then it tells you what political candidate is most like you or what part of the country you’re from? […]

What’s the worst thing you’ve ever seen?

in COVID-19, Systems, Tools & Methods

By David M Williams, PhD Photo by Benjamin Voros on Unsplash I’m not the best at small talk. A closet introvert, I’m not the first one to start a conversation. That doesn’t mean I don’t like meeting new people, getting to know them, or going to parties. In Steve Harper’s book The Ripple Effect, when […]

Lowering the Water Level

in COVID-19, Tools & Methods

By David M Williams, PhD Photo by Abel’s Shots on Unsplash   “Two boxes of mac & cheese, four packs of Nutella & Go, six Cliff Bars…..Dad, these anchovies expired in 2017,” my son Nate called out as he inventoried our pantry and refrigerator and tossed out what was expired. As the stay-at-home order hit […]

Single and Double Loop Learning

in Improvement Science, Knowledge, PDSA

By David M. Williams, PhD Simulation is a powerful method for teaching new improvers how to learn and use the plan, do, study, act (PDSA) cycle to test changes. In addition to the Mr. Potato Head and the Coin Spin PDSA exercises, there are a host of other worthwhile options like the sequence exercise. You […]