being and becoming in the world
I have found this quote by William Edwards Deming to be widely shared by “improvement scientists” involved in healthcare: My concerns about this aphorism are on a number of levels: Implicitly it reduces … Continue reading Mattering and measurement
This is the title of an Editorial in the October 2017 BJPsych Bulletin. It is a personal view by Dr Philip Timms a retired Consultant Psychiatrist. Dr Timms gave two … Continue reading A Devil’s Dictionary
In a recent Healthcare Improvement Scotland blog, Karen Ritchie asked: “Do we need perfect evidence when making decisions?” I posted this response on the 26th September 2017: Dear Karen, What … Continue reading Quality Improvement [Ethics not included]
Over three years ago I wrote this summary of my concerns about mandatory delirium screening. The consequences for me in writing this were life changing: the reality of having the courage to … Continue reading Delirium screening (some years later)
In my last post I considered a “thought paper” entitled “The habits of an improver” and welcomed that critical thinking was considered a necessary habit. The word “engineer” or “engineering” … Continue reading Improvement science: engineering 42 – ethics 0
It is most welcome to hear from Philippa Whitford about positive outcomes of NHS Scotland’s collaborative approach to quality improvement and the learning that this might provide for the rest … Continue reading “ethical approval is less burdensome”
What follows are three slides taken from a talk given by the Executive Clinical Director, Healthcare Improvement Scotland and IHI Fellow, given at the Edinburgh International Conference of Medicine in … Continue reading ‘Improvement goggles’
The Nuffield Trust has recently published “Learning from Scotland’s NHS”. This report was based on a select group of “30 senior leaders and experts from Scottish health and care”. One … Continue reading ‘How to Improve’