Better: A Field Guide to Continuous Improvement

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BETTER A Field Guide to Continuous Improvement Ben Sco eld @bsco eld | bensco eld.com Nordic Ruby 7 June 2013

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BETTER Part of a Field Guide to Continuous Improvement Ben Sco eld @bsco eld | bensco eld.com Nordic Ruby 7 June 2013

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1965-1967 1968 1969 1970-1973 0 1.5 3 4.5 6 7.5 9 10.5 12 13.5 15 Air Force Navy Kill Ratio (US vs North Vietnam)

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1965-1967 1968 1969 1970-1973 0 1.5 3 4.5 6 7.5 9 10.5 12 13.5 15 Air Force Navy Kill Ratio (US vs North Vietnam)

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1965-1967 1968 1969 1970-1973 0 1.5 3 4.5 6 7.5 9 10.5 12 13.5 15 Air Force Navy Kill Ratio (US vs North Vietnam)

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1965-1967 1968 1969 1970-1973 0 1.5 3 4.5 6 7.5 9 10.5 12 13.5 15 Air Force Navy Kill Ratio (US vs North Vietnam)

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I am a DIRTY LIAR

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PERFORMANCE is not PRACTICE

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PRACTICE isn’t always POSSIBLE

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PERFORMANCE as PRACTICE

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concern: OPTIMAL PERFORMANCE?

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MILITARY

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AFTER-ACTION REPORTS MILITARY performance as practice

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MEDICINE

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MORBIDITY & MORTALITY MEDICINE performance as practice

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GRAND ROUNDS MEDICINE performance as practice

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APGAR MEDICINE performance as practice

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MEDICINE performance as practice APPEARANCE PULSE GRIMACE (REFLEX) ACTIVITY RESPIRATION

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it all comes down to FEEDBACK

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TECHNOLOGY

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OUTAGE POST-MORTEMS TECHNOLOGY performance as practice

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TECHNOLOGY performance as practice TL;DR TIMELINE CONTRIBUTING CAUSES IMPACT REMEDIATION

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PROJECT POST-MORTEMS TECHNOLOGY performance as practice

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METRICS TECHNOLOGY performance as practice

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BONUS! PLAN PERFORMANCES TECHNOLOGY performance as practice

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TECHNOLOGY performance as practice

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WAIT FOR IT

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some PERFORMANCE can’t be PRACTICE

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FAILURE is SEVERE

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PERFORMANCE takes TOO LONG

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there are LOCAL OPTIMA

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MILITARY

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MILITARY failure is severe

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MEDICINE

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CADAVERS MEDICINE failure is severe

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BUSINESS

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BUSINESS long performance LEAN STARTUPS

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COMICS

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COMICS local optima

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THE HAWKEYE INITIATIVE COMICS local optima

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THE HAWKEYE INITIATIVE COMICS local optima

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THE HAWKEYE INITIATIVE COMICS local optima

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TECHNOLOGY

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SIMULATE TECHNOLOGY failure is severe

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KEEP THINGS SIMPLE TECHNOLOGY performance is long

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EXPERIMENT TECHNOLOGY local optima

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WIDEN FOCUS TECHNOLOGY local optima

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FEEDBACK is how we get BETTER

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Thank you! Ben Sco eld @bsco eld | bensco eld.com Nordic Ruby 7 June 2013 After-action review process http://1.usa.gov/3bmiM Grand Rounds video recordings http://bit.ly/13dNRJ1 The Hawkeye Initiative http://thehawkeyeinitiative.com/