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Do More of What Already Works
In 2004, nine hospitals in Michigan began implementing a new procedure in their intensive care units (I.C.U.). Almost overnight, healthcare professionals were s...
To Make Big Gains, Avoid Tiny Losses
In many cases, improvement is not about doing more things right, but about doing less things wrong. To understand what I mean, we need to take a trip to Japan. ...
Measure Backward, Not Forward
We often measure progress by looking forward. We set goals. We plan milestones for our progress. Basically, we try to predict the future to some degree. We do t...
How to Solve Big Problems
In late November of 1991, a three-year-old girl was diagnosed with leukemia. There was a 30 percent chance she would die. In the coming months, she would receiv...
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