The State of QI and Implementation Research
Influencer
Understanding Quality through Systems Thinking
RWJF, Partners for Quality Education
Complexity Science
100
"We can't solve problems by using the same kind of thinking we used when we created them."
What is a quote by Albert Einstein?
100
Specific, high-leverage actions that will lead to the results you want; the second key to influence.
What are vital behaviors?
100
If the outputs of a system do not satisfy the environment, the inputs will cease.
What is the natural law of systems?
100
A line and word picture showing the most meaningful relationships between an effect and it's possible causes.
What is a cause and effect diagram (fishbone diagram)?
100
Big problems can be broken down into smaller ones, analyzed, and solved by rational deduction and has strongly influenced both the practice of medicine and the leadership of organizations.
What is Newton's "clockwork universe"?
200
Simple, complicated, and complex.
What are the three types of systems?
200
According to Dr.Wiwat, this is when a sex worker chose- or did not choose- to demand the use of a condom.
What is a crucial moment?
200
The focus of the first accessory concept in systems thinking which is everything not within the boundary of the focus system. The source of the system's inputs, and the destination of outputs.
What is the environment?
200
A way of showing the most important component parts or contributors to a problem by quantifying factors that contribute to a problem in descending order of frequency or importance.
What is a Pareto Chart?
200
A collection of individual agents with freedom to act in ways that are not always totally predictable, and whose actions are interconnected.
What is a complex adaptive system?
300
Mutual adjustment, direct supervision, standardization of work processes, standardization of outputs, standardization of skills/professions, and standardization of norms.
What are Mintzberg's six basic mechanisms of coordination in organizations?
300
The old 80-20 rule.
What is the Pareto Principle?
300
1. Any system is always a part of a complex set of systems. 2. All systems function both as source and user systems.
What are the first two principles of systems thinking?
300
*!* DAILY DOUBLE *!* In this technique, you write the problem in the center of a large sheet of paper and link it by lines to as many factors as you can think of that are associated in any way with the problem.
What is mind mapping?
300
The behavior of a complex system. A small difference in a the initial variable that leads to huge differences in outcomes.
What is non-linear?
400
The people leading the change.
Who are the change agents?
400
Notice the obvious, look for crucial moments, learn from positive deviants, and spot culture busters.
What are four vital behavior search strategies?
400
A system with effective feedback loops.
What is an open system?
400
1. Identify and describe events. 2. Discern patterns. 3. Determine if patterns point to an underlying structural problem. 4. Develop interventions
What are the fours phases to the QI process?
400
An area that has insufficient agreement and certainty to make the choice of the next step obvious, but not so much disagreement and uncertainty that the system is thrown into chaos.
What is the zone of complexity?
500
Reflects the behaviors and the nature of relationships, decision making, conflict, power and learning.
What are patterns?
500
A learning expert who has spent over 50 years doggedly observing teachers in order to identify the vital behavior that separate the best from the rest.
Who is Dr. Ethna Reid?
500
Quality can only start when the supplier knows exactly what the user wants.
What is the first law of quality?
500
A technique where an action step, policy, or procedure is selected and asked why it is done this way. The process is repeated five times with each answer you get.
What is the five whys?
500
To cope with complexity in healthcare, we must abandon THIS type of model, accept unpredictability, respect autonomy and creativity, and respond flexibly to emerging patterns and opportunities.
What is a linear model?
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