Rubin I
Temenos, Inc., Honolulu, HI, USA.
Physician Exec. 1996 Oct;22(10):22-7.
All CQI/TQM efforts share a common purpose: to learn something that can correct past mistakes and/or to create better futures. Because learning is a dynamic circular process, the information about a problem or an opportunity will be limited unless four perceptions of the truth--each valid, and each incomplete--are accepted. These four types of learning styles or ways of perceiving are: abstract conceptualizers, active experimenters, concrete experiencers, and reflective observers. Unless all the stages of the learning process have been fully completed, unless all the strokes work in harmony, we cannot be confident that a CQI effort has added its full value. A CQI team's interpersonal process, the tools by which individually limited truths are forged into a consensual holistic truth, must ensure that the group's effort goes "around in circles."
所有持续质量改进/全面质量管理的努力都有一个共同目标:学习能够纠正过去错误和/或创造更美好未来的东西。由于学习是一个动态循环的过程,除非接受关于真相的四种认知——每种认知都是有效的,但又都是不完整的——否则关于问题或机会的信息将是有限的。这四种学习风格或认知方式分别是:抽象概念化者、积极实验者、具体体验者和反思观察者。除非学习过程的所有阶段都已完全完成,除非所有环节都协调一致,否则我们无法确定持续质量改进的努力是否已充分发挥其价值。持续质量改进团队的人际过程,即把个体有限的真相锤炼成共识性整体真相的工具,必须确保团队的努力能够“循环往复”。