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If what you are doing isn’t working…try something else Michael Gardam University of Toronto

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If what you are doing isn’t working…try something else. Michael Gardam University of Toronto. “Insanity: doing the same things over and over again and expecting different results.”. How I got to where I am now. - PowerPoint PPT Presentation

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Page 1: If what you are doing isn’t working…try something else

If what you are doing isn’t working…try something else

Michael GardamUniversity of Toronto

Page 2: If what you are doing isn’t working…try something else

2

“Insanity: doing the same things over and over again and expecting

different results.”

Page 3: If what you are doing isn’t working…try something else

How I got to where I am now

Page 4: If what you are doing isn’t working…try something else

Vancouver General Hospital, Kelowna General Hospital, Joseph Brant Memorial Hospital, Trillium Health Centre,

Toronto East General Hospital

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Interviews: Identified TensionsInterviews: Identified TensionsTraditional Healthcare Culture

Emergent Culture

In a ‘do-er’ culture, need to get things done immediately

Taking the time for discovery and

learning

Evidence-based practice (scientific proof)

Practice-based evidence (social proof)

Information and data are trusted Stories and relationships are trusted

Culture change is complicated Changes can be simple

Leaders need to ‘step-up’ Leaders need to ‘step-back’

Top-down leadership from

traditional leaders Bottom-up leadership from the front line

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FFLLOO

RONT

INE

WNERSHIP

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How to get here?

From here?

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1212

The Hand Hygiene Hurdles

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Our new approach

• Clear top down leadership to set expectations• Transparent audit and feedback• Programs expected to meet targets, but not

given a roadmap• Frontline engagement, including physicians• No “one size fits all” strategy

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“You must be the change you wish to see in the

world”

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[email protected]


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