Thread by @petrosoniak

Every organization will encounter a crisis.

Here’s how we used the concept of pre-mortem to improve.

This week we @Sim_UnityHealth conducted a multi-disciplinary #simulation of a complete loss of IT infrastructure.

Goal: crash test our processes & ensure ongoing care

🧵

1/

Frequently organizations develop policies for crises but we know that work as imagined is never the same as work as done. @StevenShorrock

Orgs guess how ppl respond.

They hope ppl will remember the procedures.

They 🤞 that the system under stress will work.

2/

But there’s a better way to know with greater certainty how the system and people will respond. And what strengths and deficiencies exist.

We use #simulation to support a pre-mortem.

3/

We ran a #simulation of a complete loss of IT infrastructure and had our participants (front line clinicians) work thru the challenges.

We observed what processes they used successfully and what proved challenging.

4/

Rather than guessing and hoping, we observed actual clinicians respond in real time - bridging the gap between work as imagined and work as done.

Then we debriefed and gained valuable perspectives from the end users.

The engagement among staff was amazing!

5/

Our emergency management team takes these insights to update our system so that should this happen IRL we’ll have a closed gaps and be better prepared.

This is just another form of #simulation-informed design.

This is key part of a learning organization.

End