1. Spreading a Change Jane Taylor, Ed.D. Improvement Advisor

2. 2 How to tell if a change is spread-ready? E. Rogers has a suggestion from: The Diffusion of Innovation

3. 3 Consider whether the change is... Observable? Trial-able? Relative advantage over how we do things now? Fairly simple to adopt? Fairly adaptable with how we do things now?

4. 4 Example Cell phone – Advantage ✓ – Simple ✓ – Adaptable ✓ – Trial-able ✓ – Observable ✓

5. 5 Sepsis Example Suspect sepsis? Change Nurse driven protocol – Order Lactate Fluid bolus Trial-able ? Observable ? Relative advantage ? Simple enough to do ? Adaptable ?