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Improving Improvement

A toolkit for Engineering Better Care


Questions: Overview


Describes a set of questions appropriate for a health and care improvement process.

Managing Improvement

A process perspective answers key questions in an iterative and systematic way to guide a set of complex needs through to validated and effective operational systems.

Describing People

A people perspective uses knowledge of stakeholders’ abilities, experience, competence and culture to enable the design of systems that are fit for their intended purpose.

Mapping Systems

A systems perspective ensures the design and improvement of safe and efficient systems that satisfy their required purpose in the context of a wider system.

Inspiring Design

A design perspective ensures that systems are delivered using a range of perspectives, creative approaches and evaluation strategies in order to meet stakeholder needs.

Assessing Risk

A risk perspective ensures that system threats and opportunities are identified and their consequent risks are managed in accordance with stakeholder expectations.

Case Studies

The case studies explore retrospectively how the questions from the spiral model of this toolkit’s systems approach could be applied to large systems.


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