Common Pitfalls for New Improvement Teams: A Story from New Delhi, India


Listen as Nigel Livesley, Project Director of the ASSIST Project in India, shares a story from a New Delhi hospital in training a new improvement team to provide better and safer care for women during the postpartum period.

Here are four takeaways from his story:

  1. Don’t expect that training or management directives alone change how care is provided.
  2. Test changes on a small scale before implementing them—even a little information can help you to see whether a change works or not and helps you avoid unintended consequences.
  3. Review results quickly and take action—don’t wait until the next team meeting to act.
  4. Stay focused on the outcome of interest—don’t just focus on a process measure that may or may not result in good care.
Report Author(s): 
Nigel Livesley
USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project/URC
ASSIST publication: 
ASSIST publication
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