So we all want to change for the better whether it is in the way we make dinner or the way we play football. But how do we usually go about it. Well imagine you wanted to improve your health. It is highly likely you will run off to the bookstore to buy a health guide, surf the net or use the accumulated 'television' knowledge on what is good for you. Let me guess..your solution would likely to be to try loosing the extra flab. How do I know? Well that's a solution which anyone living on this modern planet would think as obvious. Even if you didn't go to school you would have seen the weight loss preachers on TV. So next step..go for a radical diet or exercise all you can or a mix of both. You could be more 'scientific' and follow professionally crafted weight loss programs.
My point is not that all these weight loss plans are misguided but that we actually went from the idea of improving health to weight loss programs. Did we actually stop to think whether improving your health means lower figures on the weight scale? How did we form that link? Or is that link really consistent with your own physical-mental status. And once you reach that magical figure on the scales, are you any healthier? Who says so? Why? And how did you decide on the figure?
So what is my point? Well here goes...when you are trying to improvise, first be clear on what we are trying to accomplish. Improving health could mean a lot of things for you not just some flab you may have. It could mean feeling better or meaning you could take the stairs without gasping for breath. Be clear on the goal. Second, the goal isn't always a numerical target so you have to decide what exactly is the measure which will help you determine that the change made by you is resulting in a clear and positive change towards that goal. Thirdly, you now have to figure out what is the change that you will execute to do this?
But remember that the change initiated by you may not result in a desired shift in the measure..it may even worsen. Or you might have achieved just miniscule improvement. So what? The measure still gives you information on whether to upgrade whatever you were doing to improvise further or you realise that you are totally in the wrong direction. And then you try something else and you could go on until you reach the desired goal.
Above I have just elaborated on 2 fundamental and essential themes to remember when working on quality improvement. One is the 3 fundamental questions that must be answered when executing a change exercise. Second is the cyclical process of undertaking experiments to improvise until you achieve what you set out to do. Technically you could call it the PDSA or Plan-do-study-act cycles.
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