Immunity to Change

Immunity to Change

Review
Immunity to Change: How to Overcome it and Unlock the Potential in Yourself and Your Organization is a 2009 book written by Robert Kegan and Lisa Laskow Lahey. It has updated examples of their experience using their immunity to change concepts first introduced in their 2001 book, How the Way We Talk Can Change the Way We Work. This book was recently recommended by another experienced improvement consultant. Since I was unfamiliar with the book and change process, I decided to learn the process and share key points with my friends and colleagues. I typically work with teams and organizations, not individuals, and have not used the immunity to change process myself. It does provide a path to understanding root cause, so I see reasons why it could work well…
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Problem Solving to Root Cause

Problem Solving to Root Cause

Lesson
While facilitating an improvement project for a hospital's surgical department recently, our team was presented with a clear opportunity for improvement. Recent data logged during a long day of procedures included three separate surgical cases where the patient's discharge paperwork was incorrect. These three errors were all caught by the surgeon before the patient was discharged, but other patients had reported receiving and following the wrong post-op procedures. The team decided that this issue was a priority to address and the Nursing Director took a leadership role in bringing together the team involved in preparing the pre-op paperwork to review the problem and propose solutions. The team was able to work together to quickly make some significant improvements while learning some core concepts of problem solving. Some of the tools…
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