1. G9 IMPROVISING IMPROVEMENT: HOW THE QUALITY IMPROVEMENT MOVEMENT CAN LEARN FROM THE ART OF IMPROVISATION Helen Morant

2. Full time employee of BMJ Very, very limited professional experience in comedy Attended course on improvisation Retired anaesthetist Interests

3. https://storify.com /hmorant/g9- improvising- improvement/

4. We're all used to the idea of performers using improvisation to create brilliant art, particularly comedy, music, and drama. But what about using it to improve healthcare? Is there room for creativity and play in the safe, check-listed work of healthcare professionals. Maybe the simple rules of improvisation can teach us a thing or two about how to build teams, deliver excellent patient care, and bring about change in our workplaces. Overview

5. Learning Outcomes Learn the basic rules of improvisation Understand how to use games to develop ideas and build trust in teams Using "Yes, and..." to deliver excellent care #yesand Learning Outcomes

6. FUNTIMES

7. game Sit down if you have never.... Laughed out loud Been embarrassed Been to the theatre Been to see live comedy Been on stage Taught improvisation I have never

8. Back to work

9. What is improvisation Making things up as you go along Doing the best with the material you have available - crisis management Creating new ideas Unrehearsed - without preparation Risk - a higher degree than would be acceptable through plans and protocols Improvisation in healthcare (1)

10. @HelenBevan Source: @NHSChangeDay

11. Rules Always agree and say YES Contribute and say YES, AND... Make statements, don't ask questions There are no mistakes, only opportunities The Rules of Improvisation

14. Rules Listen Say yes Live in the moment Play with people who have your back Make big choices early Amy Poehler’s Rules of Improv

15. Rules Yes and......demo video

16. FUNTIMES

17. Game Make a statement Agree, accept and add (no “buts” - "ifs“ are fine) Think like a rally in tennis Ideas to start with: This lecture is excellent Paris is a great city You should get a new job My ward is a great place to work yes and …

18. Back to work

19. Application generating ideas communication acting and empathy in patient care The best acting "performances" happen when the actor has the deepest empathy with the character they are playing. Empathy requires imagination - put yourself in the other's position How to apply this....

21. STATUS

22. Status Status video

23. Status High status person holds direct and steady contact maximum space and are relatively inactive. Low status frequently looks away, take up as little space as possible, make little gestures like pulling at your hair, rubbing your face, fixing yourself up and also make little, ineffectual noises. Description of high status and low status

25. FUNTIMES

26. Status Charlie: {Knocks on a door} Alex: Come in. You know why I called you? Charlie: no Alex: {Hands Charlie a piece of paper} Charlie: I thought you wouldn`t take that into account? Alex: You`re fired. Charlie: Fine. I hated that stupid job anyway. A short play about status

27. Back to work

28. Status feedback Flattening the status gap in teams Consulting with teenagers Empathy Status feedback

29. Get me to agree to anything #yesand Statement and agreement session