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Systematic Change

Purpose & MeaningAdvanced
Ongoing5 steps1 practitioner

Attack root causes rather than symptoms by designing systems that prevent problems before they occur. Nightingale shifted healthcare from reactive treatment to proactive sanitation and prevention.

Steps

1

Identify a recurring problem — something that keeps happening despite repeated fixes

2

Trace the problem back to its systemic root cause, not just the immediate trigger

3

Design a process or system that prevents the root cause from producing the problem

4

Implement the change on a small scale first and measure results

5

Scale what works and document the approach so others can replicate it

Practitioners

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