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Enhancing Systems Thinking and Improvement Science Through Driver Diagrams

Explore the Theory of Knowledge System and Subject Matter Expertise as black boxes, utilizing concepts like Psychology of Change and Understanding Variation to drive improvement. Learn how to create Driver Diagrams and identify primary drivers to achieve desired outcomes. Gain insights from W. Edwards Deming's Profound Knowledge and implement change ideas from various sources, including medical literature and innovative team members. Enhance your team's theory by outlining key drivers and outcomes for successful improvement.

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Enhancing Systems Thinking and Improvement Science Through Driver Diagrams

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  1. Improvement Science Thinking

  2. System as a black box Theory of Knowledge

  3. System as a black box Subject Matter Knowledge Theory of Knowledge

  4. System as a black box Subject Matter Knowledge Appreciation of the System Theory of Knowledge

  5. System as a black box Subject Matter Knowledge Understanding Variation Appreciation of the System Theory of Knowledge

  6. System as a black box Psychology of Change Subject Matter Knowledge Understanding Variation Appreciation of the System Theory of Knowledge

  7. System as a black box Psychology of Change Subject Matter Knowledge Understanding Variation Appreciation of the System Theory of Knowledge

  8. Improvement Science • Understanding Variation • Psychology of Change • Systems Thinking • Theory of Knowledge • Subject Matter Expertise First articulated as Profound Knowledge by W. Edwards Deming +

  9. Driver Diagrams Making sense of theories

  10. Drivers Effect Cause Conceptual Driver Diagram Outcome Change Concepts 1⁰ driver 2⁰ driver Specific Change Ideas 2⁰ driver 1 Ideas: 1 2 3 4 5 6 7 8 9 . . . . . . N Concept 1 1⁰ driver 1 Concept 2 2⁰ driver 2 Concept 3 Aim or Outcome 2⁰ driver 3 Concept 4 2⁰ driver 4 1⁰ driver 2 Concept 5 2⁰ driver 5 Concept 6

  11. Theory of what drives bed days Theory of what actions will change bed days

  12. How will we use our driver diagrams? Outcome Change Concepts 1⁰ driver 2⁰ driver Specific Change Ideas Where ideas come from: Medical Literature Websites like www.ihi.org Team members who have innovative thoughts about what to do differently Structured Creativity Sessions (use of change concepts, provocations, random entry, etc.) Other Teams Improvement Advisors 2⁰ driver 1 Ideas: 1 2 3 4 5 6 7 8 9 . . . . . . N Concept 1 1⁰ driver 1 Concept 2 2⁰ driver 2 Concept 3 Aim or Outcome 2⁰ driver 3 Concept 4 2⁰ driver 4 1⁰ driver 2 Concept 5 2⁰ driver 5 Concept 6

  13. Team Break Out • Spend time creating a driver diagram that represents your teams theory about what drivers will be important to focus on to achieve the outcome you are aiming for • Choose 1 or 2 outcomes that represent the areas of work you will be focusing on your individual project • from there, identify 1-3 primary drivers and their secondary drivers • Begin building your theory

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