Improving Quality and Safety in Healthcare (IQSH) toolkit

Systems thinking for quality improvement

Defining quality in healthcare

Quality healthcare can be defined in many ways, but there is growing acknowledgement that quality health services across the world should be: effective, people-centered and safe.

Complex systems characteristics

Characteristics that can inform quality improvement practices.

Iceberg model

Many factors contributing to healthcare issues are not immediately apparent, like an iceberg, only a small portion is visible above the waterline.

Leverage Points

Donella Meadows, an early systems thinking leader identified 12 leverage points or strategic ‘places to intervene’ where small shifts can bring about big changes.

Causal loop diagrams (CLDs)

Causal loop diagrams help us capture a shared understanding of complex problems and provide insights in where to intervene.

Systems thinking principles

When trying to resolve and improve upon undesirable outcomes, systems thinking principals need to be applied.

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