Nursing the System

7: Who is Missing?


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🎙 Episode Overview: In this episode, I share a crucial lesson learned during a 2021 ER triage redesign project: the importance of identifying and including all stakeholders in system changes. Through my experience of forgetting to include the CT department in our communications, I explore why asking "who's missing?" is vital for successful change implementation in healthcare.

🔑 In This Episode, You'll Learn:

  • How my ER navigated the challenging surge of 2021 with creative solutions
  • Why we needed to redesign our triage process during crisis conditions
  • What happened when we accidentally left out the CT department from our communications
  • How to recover and learn from stakeholder oversight in change projects

🧠 Key Ideas to Take With You:

  • System changes affect more people than we initially realize
  • Early stakeholder identification prevents costly backtracking
  • Recovery from oversight is possible with humility and proactive communication
  • Complex systems require balance between inclusion and scope management

🎧 How to Get the Most Out of This Episode: Consider your own change initiatives and use this story to reflect on stakeholders you might have overlooked. Remember that mistakes in change management are normal—it's how we recover and learn from them that matters.

🛠️ Practical Actions You Can Take:

  • Start asking "who's missing?" in every meeting about change
  • Create stakeholder maps before implementing new processes
  • Develop communication plans that include all affected parties
  • Build feedback loops to catch oversights early

📲 Call to Action:

  • DM me onInstagram with your thoughts on stakeholder inclusion
  • Share this episode with someone leading organizational change
  • Think about who might be missing from your current projects
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Nursing the SystemBy Claire Phillips, DNP RN