Tiny Changes Making A Huge Difference: Responding to COVID-19

A Bit of Context

Coaches and working groups from hospitals across the US preparing to launch MRSA and superbug prevention projects.
An improv prototyping scene at a Montana hospital depicting unsafe handshake between a doctor and patient. Immediately, the audience was invited to replay the scene SAFELY in small groups.
Core leadership team from a hospital in Montana, showing off their good hand hygiene.
  • we must seek out positively-deviant behaviors and practices in hidden in plain sight (see more about Positive Deviance here);
  • we must practice deep respect for people and local solutions (not deploy imported “best” practices but rather rely on local inventiveness);
  • we must practice self-discovery in a group (very few people respond well to being told or coerced into compliance but rather love learning and experimenting); and,
  • we must include and unleash everyone to shape next steps as the work unfolded (focusing on the unusual suspects as well as the more privileged people)

Applifying the challenge with LS-TRIZ via Creative Destruction

Infection prevention leaders from Toronto boldly launching a Canada-wide action research project.

Igniting Momentum with LS Discovery and Action Dialogue (DAD)

Student nurse celebrated for reminding a doctor colleague to follow room precautions. She attended an improv prototyping session featuring this theme… and then brought it to real life on a unit.

Dramatizing the Action Unfolding with Improv Prototyping

Infection prevention team performing a safe practice dance routine.

Did you have the session before or after the public announcement?

What topics did you improv prototype?

What else?

  • practicing deep respect for people and local solutions, not expecting that imported “best practices” will solve local problems;
  • seeking out positively-deviant behaviors and practices in hidden in plain sight;
  • practicing self-discovery in a group, not expecting people to respond well to being told or coerced into compliance; and,
  • including and unleashing everyone to shape next steps as COVID-19 unfolds… with an emphasis on the unusual suspects.
Focusing on unusual suspects (hospital volunteers) and making hand washing fun across many different units and settings in a Canadian hospital.

Comments from colleagues who joined in this prevention work…

Henri Lipmanowicz, Co-Author, Liberating Structures

Marlies van Dijk, RN, MSC, Lead of the Design Lab, Alberta Health Services, Canada

Molly Angel, RN, Change Management Consultant, Seattle

Arvind Singhal, Marston Endowed Professor of Communication, UTEP

--

--

--

Keith is co-developer of Liberating Structures and co-author of the book The Surprising Power of Liberating Structures ...

Love podcasts or audiobooks? Learn on the go with our new app.

Recommended from Medium

There are two types of people in a pandemic. — Eliza Louisa

Pushing the Pull of Suicide Away

Reflecting on My Mental Health Practice Class I

Mental Health Is Still a ‘Don’t Ask, Don’t Tell’ Subject at Work

The Mental-Health-Care System Isn’t Ready for Covid-19 Either

The Lingering Remnants in the In Between

Do you feel lonely?

Mental health: in from the cold

Get the Medium app

A button that says 'Download on the App Store', and if clicked it will lead you to the iOS App store
A button that says 'Get it on, Google Play', and if clicked it will lead you to the Google Play store
Keith McCandless

Keith McCandless

Keith is co-developer of Liberating Structures and co-author of the book The Surprising Power of Liberating Structures ...

More from Medium

We are more alike than different

A NEW APPROACH TO INCLUSIVE LEADERSHIP

Can mass media reduce violent conflict?

Who knew the secret to real transformation was… Trusting People!