Spreading a Change Jane Taylor, Ed.D. Improvement Advisor.
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Spreading a Change Jane Taylor, Ed.D. Improvement Advisor
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Transcript of Spreading a Change Jane Taylor, Ed.D. Improvement Advisor.
Spreading a Change
Jane Taylor, Ed.D.Improvement Advisor
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How to tell if a change is spread-ready?
E. Rogers has a suggestion from: The Diffusion of Innovation
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Consider whether the change is . . .
• Observable?• Trial-able?• Relative advantage over how we
do things now?• Fairly simple to adopt?• Fairly adaptable with how we do
things now?
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ExampleCell phone
– Advantage ✓– Simple ✓– Adaptable ✓– Trial-able ✓– Observable ✓
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Sepsis Example
Suspect sepsis?Change• Nurse driven
protocol – Order
• Lactate • Fluid bolus
• Trial-able ? • Observable ?
• Relative advantage ?• Simple enough to
do ?• Adaptable ?
