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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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If what you are doing isn’t working…try something else
Michael GardamUniversity of Toronto
2
“Insanity: doing the same things over and over again and expecting
different results.”
How I got to where I am now
Vancouver General Hospital, Kelowna General Hospital, Joseph Brant Memorial Hospital, Trillium Health Centre,
Toronto East General Hospital
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
FFLLOO
RONT
INE
WNERSHIP
How to get here?
From here?
1212
The Hand Hygiene Hurdles
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
“You must be the change you wish to see in the
world”