Spreading Good Practice: Sarah Fraser

just a quick thanks for pointing me to this tool. ...

2009-10-20T21:05:14.906+01:00

just a quick thanks for pointing me to this tool. it really helped me in a jiffy.

A number of guidelines are put together by committ...

2009-09-24T04:22:09.334+01:00

A number of guidelines are put together by committees with several drug companies' reps or people funded by drug companies, who have a vested interest in maligning the truth.

The hegemony of the hemoglobin A1C being a prime example.

With recent publication of how Forest pushed its drugs with CME, I can't help but worry about some of the guidelines coming out these days.

I think you have a very valid point that humans often need to know why they are asked to do something and if they don't they will often not perform as you (or the book maker) would like. Why should I wash my hands? (a little bracket detailing the number of people I'm likely to kill, etc, would be useful!) Why should I keep a surgical patient normothermic? (a little bracket detailing how many wound infections I might cause) And so on... Given all people tell us to do, understanding priorities such as: we can have some variation in how you do X and Y but NOT Z BECAUSE if Z isn't done correctly, some number of people will die, might be really helpful!

Great post!

I'm surprised about your comment on the Mark Graba...

2009-08-17T22:53:03.770+01:00

I'm surprised about your comment on the Mark Graban book. I thought it actually focused quite nicely on the management culture and thinking behind the different lean tools.

Theatre Utilisation Theatre utilisation is commonl...

2009-08-09T20:40:51.533+01:00

Theatre Utilisation
Theatre utilisation is commonly expressed as a percent of contact hours - anaesthesia start time to time patient leaves the the operating theatre divided by allocated time. So you see that the Operating Theatre has an 85% utilisation - yet what does this mean. My view is that the operating theatre utilisation should be expressed as contact hours - anaesthesia start time to the time the patient leaves the operating theatre. One way of documenting this is to plot contact hours per working day. By monitoring contact hours per working day you can readiliy see the impact changes to system and process. You cannot manage by percent.

Great article, it is amazing how many people are s...

2009-06-19T11:52:31.943+01:00

Great article, it is amazing how many people are so poor at the skill of communication. Keep up the good work.
Check out www.activepersonalgrowth.com for more ideas on personal communication and growth.

I agree that we know what to do in healthcare. Th...

2009-05-22T03:20:31.302+01:00

I agree that we know what to do in healthcare. The harder thing is actually doing it. I think the biggest innovation in the future will not be ONE thing, but combinations of things - that together substantially increase service. Think of a place that had technically perfect care, perfect access to visits or phone or on-line advice or group visits delivered by people who truly were warm, caring, and enjoyed their job! - MLD

I recently came accross your blog and have been re...

2009-04-06T04:43:00.000+01:00

I recently came accross your blog and have been reading along. I thought I would leave my first comment. I don't know what to say except that I have enjoyed reading. Nice blog. I will keep visiting this blog very often.

Ruth

http://besttoddler.com

Sarah, Thank you for mentioning my Fast Company bl...

2009-03-08T19:33:00.000Z

Sarah,

Thank you for mentioning my Fast Company blog, Leading Change. I am honored. You may also be interested in my personal blog GettingChangeRight.com.

I love your questions! You write you are pondering "...how easy it is to describe what has happened and to make inferences from that as to how we can make something happen in the future."

Thank you for this. It opens a door into a frame-of-mind that is immensely constructive. Indeed, where do our mental models transfer from recollections of an experience to a framework that works as an application? This is so difficult. Yet, so needed to boil everything down to a set of workable principles.

How can we possibly capture all circumstances in a mental model? Yet, all we need is enough to promise the results we are after. This is the nature of the human mind, to build generalizations in the hopes of being able to control our own destiny in some limited way. As a practitioner (not a researcher or academic), I am always on the lookout for models that work, that I can adopt, adapt, and put to work.

I see that you are involved with nurses and healthcare. Are you familiar with the American Nurses Credentialing Center's Magnet hospital program? I have been very impressed by the "Fourteen Forces of Magnetism as a way of predictably transforming hospitals, beginning with nursing excellence and extending through the whole system.

What I know about this program is that these principles are useful in starting interactions, and setting clear expectations about what is involved in transforming a hospital. In application, people must by necessity be involved in adapting the principles to a given hospital's needs and situation.

Look forward to more from you,
Seth

I don't have an example .....yet, but what a brain...

2009-01-22T17:20:00.000Z

I don't have an example .....yet, but what a brainstorm that must have been! So many of those ideas are exciting fuel for possibilities!!

SarahCheck out the really entertaining and informa...

2008-12-29T15:15:00.000Z

Sarah

Check out the really entertaining and informative Hans Rosling presentations at TED. He developed Gapminder which was acquired by Google and now shows as Motion Chart in their repertoire.

If you want to see living statistics presented informatively then he is the man - he is a Public Health Doctor from Sweden

http://www.ted.com/index.php/talks/hans_rosling_reveals_new_insights_on_poverty.html

Mark

Hi Sarah,Thanks for posting this, and for commenti...

2008-08-28T17:20:00.000+01:00

Hi Sarah,

Thanks for posting this, and for commenting on my blog. I've posted before on Professor Watts here.

Now then, when you think of it, saying that influencers are not important is an oxymoron. If someone is an influencer - truly - then by definition they are important. Where much confusion enters is when it is asserted than an individual is influential. Rarely is an objective case for influence, and instead arbitrary criteria are used: seniority, awareness or (worst) celebrity.

I think that Prof Watts draws attention to the over-use of the term "influencer", which is no bad thing. But there is danger in throwing out the whole concept.

I've sen the power of tapping true influencers, and it enhances sales and marketing dramatically. But it does need to be done with care and attention.

I'll post more on this issue shortly - thanks for reminding me!

I am following this up in my lunch hour (on my own...

2008-08-21T13:02:00.000+01:00

I am following this up in my lunch hour (on my own in front of a computer screen......oh dear!). What immediately begs my curiosity is that if adoption is helped by a critical mass of easily influenced individuals, would this group have to be identified first (perhaps by a form of 'commitment mapping'?) Or indeed is there a way of creating a mood os circumstances which would create a mass of easily influenced individuals. Are we all potentially easily influenced individuals in certain given circumstances? I apologise if this is a naive response, and I intend to source wider reading!

Cool! Also checkout Feedity - http://feedity.com ....

2008-07-01T04:18:00.000+01:00

Cool! Also checkout Feedity - http://feedity.com .. I use it for creating custom RSS feeds from webpages. I find Feedity better because its simple and gives better results. Cheers :)

Sarah,Great post! Your reference to personality ty...

2008-05-18T22:03:00.000+01:00

Sarah,

Great post! Your reference to personality type or personal preference is very helpful. I worked with the MBTI, as well as other behavior based instruments in the past.

People generally do interpret information or more easily adopt a change initiative based on the way it was delivered. Marshall McLuhan (Canadian author) once said: "the medium is the message".

When the communication delivery (same message) is structured to each personality type, it greatly enhances adoption.

However, there are some challenges: It is hard to find out individuals personality type to gain a general profile of a team or organization. When asking individuals to complete a MBTI questionnaire, it is normally for developmental purposes and could not be used for any other purpose.

On the other hand, experienced consultants / industrial psychologists can easily diagnose individuals personality types or personal preferences simply by observation.

Once diagnosed, a message can be written or communicated in multiple ways so that it resonates strongly with each personality type.

Regards,

Malcolm Gabriel

Here are several dozen examples of social network ...

2008-05-09T12:47:00.000+01:00

Here are several dozen examples of social network analysis in organizations, communities and industries.

Good tips

2008-03-26T00:58:00.000Z

Good tips