December 1, 2003

Why ask why?

From The Improvement Network, The Five Whys.

When you are faced with a problem it is useful to stop and ask why five times. It is easy to do but few people do it.

Example
The patient was late in theatre
Why?
There was a long wait for a trolley
Why?
A replacement trolley had to be found
Why?
The original trolley's safety rail was worn and had eventually broken
Why?
It had not been regularly checked for wear
Why?
We do not have an equipment maintenance schedule


Huh?
(via Off on a Tangent)

Posted by Chris at 6:42 AM





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