1. Quality Education for a Healthier Scotland Scottish Improvement Skills Diagnostic tools: Brainstorming frameworks

2. System of Profound Knowledge Deming 2000

3. Quality Education for a Healthier Scotland Developing change ideas using diagnostic tools By the end of this session you will be able to: demonstrate how to use a range of brainstorming frameworks to generate, capture and use others’ ideas and apply them to improvement work apply a number of brainstorming frameworks to identify potential ideas for change in your system.

4. Principles Logistics Frameworks Forcefield Analysis Human factors Driver Diagram Brainstorming

5. Brainstorming Principles of Idea Collection

6. Brainstorming Logistics

7. Forcefield analysis Forces for changeForces against change Present state Desired state Lewin 1943/1997

8. Human Factors and Ergonomics Aim: to optimize human well-being and overall system performance Encompasses: Design Engineering Psychology Organisational Management (including quality) Human Sciences (anatomy, physiology, biomechanics, anthropometry)

9. System of Profound Knowledge Deming 2000

10. Applying an HFE framework Who What When How Where Why People Activity Environment

11. Aim: promote staff wellbeing Aim 1  Driver 2  Driver Change ideas Promote the physical, mental and emotional wellbeing of staff. By March 2017: (1) reduce staff absences from 5.2% to 4.2% (2) reduce staff related incidents from 140 to 100 per month. A workplace that is safe for staff Staff engaged in health and wellbeing practices Activity People Environment ? ? ? ?

12. Project work: Applying an HFE framework Who What When How Where Why People Activity Environment

13. Human Factors and Ergonomics “Making it easy to do the right thing” Bromiley M. 2011 “Human Factors is the scientific discipline concerned with the understanding of inter- actions among humans and other elements of a system, and the profession that applies theory, principles, data and methods to design in order to optimize human well-being and overall system performance” International Ergonomics Association

14. Driver diagram Aim A new healthier me! Lose 7 pounds by end July 2015 Calories in Calories out Leisure activity Calories in meals Calories in drinks Calories in alcohol Work activity Calories in snacks No alcohol Monday to Thursday Max 1 x juice or soft drink per day Reduce portion size Cook evening meals from scratch Replace biscuits/cakes with fruit Keep to shopping list Get up from desk to talk, instead of phone or email Use stairs not lift Walk to a daily step target Swim at least twice a week 1  Driver2  Driver Change ideas

15. Organising theories for improvement Secondary Drivers Aim Aim statement: A general description of the desired improvement. (what, how much, by when) A network of factors that drive the outcome/ aim Primary Drivers Secondary factors which will influence delivery of the primary drivers Change ideas The changes or proposed interventions that can be tested out to achieve the secondary drivers

16. Project work: change ideas Use the ‘driver diagram’ approach to generate some change ideas. ? ?

17. Quality Education for a Healthier Scotland Brainstorming frameworks: summary Brainstorming principles and logistics Frameworks o Forcefield analysis o Human Factors and Ergonomics o Driver diagram

18. Quality Education for a Healthier Scotland References and further resources Lewin K., 1943, Defining the "Field at a Given Time" Psychological Review. 50: 292–310. Republished in Resolving Social Conflicts & Field Theory in Social Science, Washington, D.C.: American Psychological Association, 1997 The Science of Human Factors: Separating fact from fiction http://www.nes.scot.nhs.uk/media/2407888/human_factors_articl e.pdf Systems thinking http://skybrary.aero/index.php/Toolkit:Systems_Thinking_for_Saf ety:_Ten_Principles/Presentation Enhanced Significant Event Analysis http://www.nes.scot.nhs.uk/media/2407430/enhanced_sea_pers onal_booklet.pdf