Measures How will we know that this process continues to be an improvement? Possible changes Are there identified needs for change or new information or a

Schulze, H., 114, 123 Schwartz, L. M., 153, 164 Scott, W. R., 46, 50, 84, 94, 104 Senge, P. M., 13, 33, 67, 68, 95, 103, 104 Sergesketter, B. F., 121, 123 Shelton, R., 131, 147 Shewhart, W. A., 275, 283, 354, 361 Shook, J., 191, 196 Siemanski, B. A., 229 Simon, H., 52 Skultans, V., 211, 229 Soll, R. F., 40, 49 Spear, S., 119, 123 Spears, L. C., 82, 83, 103 Spell, N., 176 Speroff, T., 191, 196 Splaine, M. E., 33, 54, 67, 95, 102, 104, 128, 135, 191, 196, 351–352 Stephens, D. C., 67, 68 Stogdill, R. M., 65, 68 Stoltz, P., 134, 146 Sutcliffe, K. M., xxv, xxvi, 82, 86, 93, 99, 104, 172, 177 Swett, B., 41, 49 436 Name Index T Tantau, C., 329, 330 Tenhaken, J., 382 Teret, S. P., 176 Thomas, K., 41, 50 Toyoda, E., 87, 95, 104 Tucker, A., 119, 123 Tversky, A., 93, 103 V Vaill, P. B., 67, 68 W Wagner, E., 149, 150, 163, 164 Walsh, T., 180, 196 Ware, J. E., Jr., 431 Wasson, J. H., 3, 32, 44, 50, 107, 123, 124, 148, 153, 157, 164, 178, 191, 196 Weick, K. E., xxv, xxvi, 38, 46, 50, 53, 68, 78, 82, 84, 85, 86, 93, 94, 99, 104, 172, 177, 216, 229 Weinberg, J. A., 171, 176 Weinstein, J., 179, 180, 196 Welch, H. G., 153, 164 Wenger, E., 41, 50 Wennberg, J., 131, 147 Westrum, R., 173, 177 Whaley, F., 164 Wheatley, M. J., 13, 33, 235, 242 Wheeler, D. J., 349, 350–351, 355, 361 White, K., 286 Wickens, C., 171, 173, 177 Wimpelberg, R. K., 93, 104 Wolfe, D. M., 48, 50 Woloshin, S., 153, 164 Womack, J. P., 87, 88, 90, 91, 95, 105 Woods, D., 166, 176 Z Zahorik, A., 229 Zimmerman, B., 12, 33, 86, 94, 105, 218, 229, 260, 270 SUBJECT INDEX 437 A Accelerating Improvement in CF CareCollaborative program, 5 Acceptance, importance of, 83 Access to care: brainstorming and multi-voting to address, 329; change ideas to improve, 422; fishbone diagram of, 320, 337; as the improvement global aim, 295; measured improvement in, reaching, 382; measuring and monitoring, 361; as a metric that matters, 418; patterns of, assessing, case study involving, 268, 269; run chart displaying, 343, 344; specific aim statement addressing, 312; as a theme for improvement, 287, 288, 289 Access to information, 173, 185 Accountability: fostering, 54, 98; for generating results, method for establishing, 194 Act step: in the PDSA cycle, 275, 277, 425; in the SDSA cycle, 280, 428 Action guide. See M3 Matrix Action learning, idea of, 216 Action planning, to improve the workplace and its staff, importance of, 119, 121–122 Action plans: case studies involving, 366, 368; clarification of, 277; defining, 364; developing, guide for, 205; distinguishing, from Gantt charts, 362; for educa- tion and training, developing, 403; good time to make, 362; how to write, 365; in the improvement ramp, 240, 363; organizational, alignment of staff development with, 107; reason for using, 364; reporting on, 417 Action steps, in leading macrosystems, 96–99 Action strategies: formulating more effective, 95; to improve patient safety, 175 Action taking: being prepared for, 53; and empowerment, 84; flexible approach to, impor- tance of, 80; as a fundamental process of leading, 54, 58, 59–62; intelligent, 360; recommended, to address common oversights and wastes, 142–143; time frame for, 205, 206–207 Action-learning activity: creating conditions for, 98; embarking on, example of, 36 Action-learning program: model providing, 47; sponsoring an, 35; topics covered in, xxxv–xxxvi; using toolkits to guide, 227 Actions taken, to know the 5 P’s, 140–141 Activating, 159 Active involvement, as requisite, 388 Activities, assessing: reason for, 406; worksheets for, 406–407 Activity occurrence example, 407 Adaptive responses, to cost-cutting imperatives, example of, 38–39 Admission process, high-level flowchart of, 305 Advanced information systems, myth about, 152, 153, 154, 158