{"id":12109,"date":"2012-04-25T16:41:58","date_gmt":"2012-04-25T20:41:58","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=12109"},"modified":"2012-04-25T16:41:58","modified_gmt":"2012-04-25T20:41:58","slug":"applying-tom-gilberts-performance-improvement-framework-to-the-compliance-issue","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2012\/04\/applying-tom-gilberts-performance-improvement-framework-to-the-compliance-issue.html","title":{"rendered":"Applying Tom Gilbert’s performance improvement framework to the “compliance” issue"},"content":{"rendered":"
I participated today in a webinar \u00a0hosted by eHI. My slides arrived (ahem) too late to be broadcast, so I posted them online<\/a>, with comments, on my site.<\/p>\n In case you don’t click through to the whole thing, here’s a quick excerpt:<\/p>\n Long ago in another career I learned about Thomas Gilbert (1927-1995), a real guru of performance improvement, and author of\u00a0Human Competence: Engineering Worthy Performance<\/em>. Long before the development of Lean, he methodically analyzed what we now call the root causes of failure, and published the matrix shown here.<\/p>\n Healthcare can learn a\u00a0lot\u00a0<\/em>from this. It’s about solving the problem, not casting blame.<\/p>\n Here\u2019s\u00a0a great post<\/a>\u00a0about this matrix, courtesy of new Twitter friend Peter Eggenberger (LinkedIn<\/a>) of Michigan\u2019s REC.<\/p><\/blockquote>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" I participated today in a webinar \u00a0hosted by eHI. My slides arrived (ahem) too late to be broadcast, so I posted them online, with comments, on my site. In case you don’t click through to the whole thing, here’s a quick excerpt: Long ago in another career I learned about Thomas Gilbert (1927-1995), a real […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[21,12,4986,2],"tags":[],"coauthors":[],"jetpack_publicize_connections":[],"yoast_head":"\n