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Scottish Improvement Skills. Diagnostic tools: Brainstorming frameworks. System of Profound Knowledge. Deming 2000. Developing Change Ideas Using Diagnostic Tools. By the end of this session you will be able to:
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Scottish Improvement Skills Diagnostic tools: Brainstorming frameworks
System of Profound Knowledge Deming 2000
Developing Change Ideas Using Diagnostic Tools • By the end of this session you will be able to: • Demonstrate how to use a range of brainstorming frameworks to generate, capture and use others’ ideas and apply them to improvement work. • Apply a number of brainstorming frameworks to identify potential ideas for change in your system.
Brainstorming Principles Logistics Frameworks • Forcefield Analysis • Human factors • Driver Diagram
Forcefield analysis Present state Desired state Lewin 1943/1997
Human Factors and Ergonomics • Aim: to optimize human well-being and • overall system performance • Encompasses: • Design • Engineering • Psychology • Organisational Management (including quality) • Human Sciences (anatomy, physiology, biomechanics, anthropometry)
System of Profound Knowledge Deming 2000
Applying an HFE Framework Who How When Why What Where Activity People Environment
Aim: Promote Staff Wellbeing Aim 1 Driver 2 Driver Change ideas ? Promote the physical, mental and emotional wellbeing of staff. By March 2017: (1) reduce staff absences from 5.2% to 4.2% (2) reduce staff related incidents from 140 to 100 per month. Environment ? A workplace that is safe for staff ? Activity ? People Staff engaged in health and wellbeing practices
Project work: Applying an HFE Framework Who How When Why What Where Activity People Environment
Human Factors and Ergonomics “Human Factors is the scientific discipline concerned with the understanding of inter-actions among humans and other elements of a system, and the profession that applies theory, principles, data and methods to design in order to optimize human well-being and overall system performance” International Ergonomics Association “Making it easy to do the right thing” Bromiley M. 2011
Driver Diagram Aim 1 Driver 2 Driver Change ideas A new healthier me! Lose 7 pounds by end July 2015 Cook evening meals from scratch Calories in meals Reduce portion size Calories in Calories in snacks Keep to shopping list Calories in drinks Replace biscuits/cakes with fruit Max 1 x juice or soft drink per day Calories in alcohol No alcohol Monday to Thursday Calories out Get up from desk to talk, instead of phone or email Work activity Use stairs not lift Leisure activity Walk to a daily step target Swim at least twice a week
Organising theories for improvement Aim Change idea Primary Drivers Secondary Drivers A network of factors that drive the outcome/ aim The changes or proposed interventions that can be tested out to achieve the secondary drivers Secondary factors which will influence delivery of the primary drivers Aim statement: A general description of the desired improvement. (what, how much, by when)
Project work: Change Ideas Use the ‘driver diagram’ approach to generate some change ideas. ? ?
Brainstorming Frameworks: Summary • Brainstorming principles and logistics • Frameworks • Forcefield analysis • Human Factors and Ergonomics • Driver diagram
References and Further Resources Lewin K., 1943, Defining the "Field at a Given Time" Psychological Review. 50: 292–310. Republished in Resolving Social Conflicts & Field Theory in Social Science, Washington, D.C.: American Psychological Association, 1997 The Science of Human Factors: Separating fact from fiction http://www.nes.scot.nhs.uk/media/2407888/human_factors_article.pdf Systems thinking http://skybrary.aero/index.php/Toolkit:Systems_Thinking_for_Safety:_Ten_Principles/Presentation Enhanced Significant Event Analysis http://www.nes.scot.nhs.uk/media/2407430/enhanced_sea_personal_booklet.pdf