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Writer's pictureJoanne Shum

What can we do to make sure our health system fails?

Part 4 of 4

 

How do we achieve the worst-case scenario?

The answer to this counterintuitive question is, in reality, the wrong thing to do. However, when asked in a safe environment, it can pave the way to new thinking.


TRIZ is the Russian acronym for the “Theory of Inventive Problem Solving.” The basic idea behind a TRIZ is to put a critical lens on thinking about how to create a system or process that is designed to fail.

  • How do we make sure that patients don’t access clinical services?

  • How do we overload the health system by asking patients to receive multiple tests that do not support a clinical diagnosis?

  • How do we ensure physicians don’t have access to patient records in an emergency?

Using TRIZ, in a facilitated setting, permits healthcare providers to act out ways a system or process can fail due to individual or team behaviours. Even if only in a minor way or a small percentage of the time. This act of defiance will challenge your team. Give your team permission to really dig into it – for as long as they want. Be defiant! Once we understand how to achieve the unwanted state or behaviour, we can start looking at what we are currently doing to support it. You’ll be surprised at what is uncovered.


What else can I do?

Be humble – there may be actions that you and your team have been doing. Unravelling the complexities of our healthcare system requires us to be defiant. Examining how we contribute to the worst-case scenario.

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