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An operations program forteams facing
Do the same problems keep coming back, and keep pulling you in?
Usually yes. The problem is fixed for the shift, not for good, and the next time it comes back it comes back to you. This program aligns what your ward leads know, believe and do when a problem returns, in four one-hour team sessions.
Make it for your team
Execution readinessExample scores for a team like yours. Add your website to estimate your own. Measured once your team plays. Ready at 80.
Where it usually breaks26Today81/ 100After the 4 team sessions
Ready to executeShared knowledgeMedium riskNobody agrees what causes the problem, so everyone treats a symptom
Shared convictionHigh riskThey believe fixing it for good is above their pay grade
Shared practiceHigh riskThe same problem, five different fixes, and an escalation
4 sessions~50 min each8–12 people per teamNo facilitatorSessions are built from your approved protocols and can go through clinical governance review before anyone plays. Your edits are locked.
The gap
What you'd typically hear if five of your people answered alone.
SESSION 1 · FILL THE GAPSAnswered alone
Finish the sentence: when a problem I have seen before comes back on my shift, I…MMira…fix it for now and raise it so it gets fixed for good.
JJonas…fix it for now. That is what the shift is for.
AAylin…escalate it. If it keeps coming back, it is not mine.
TTomas…fix it the way I did last time, and the time before.
RRosa…depends how busy the shift is.
What it costs you if nobody notices
Shared knowledgeFive symptoms, one causeWhen ward leads do not share a picture of why the problem returns, each fixes what they see, and the cause is never touched.
Shared convictionAbove my pay gradeA ward lead who believes the permanent fix is someone else's job patches the problem every shift and escalates it every month, and the director of nursing is pulled in each time.
Shared practiceIt reaches you by defaultWithout an agreed line between what they fix and what they escalate, every recurrence goes up, and your week goes to problems the wards could have closed.
The program that closes the gap
Four one-hour sessions. Every one of your ward leads, the same line between fix it here and send it up.
Session
Shared knowledgeShared convictionShared practice
S1Know the problemAgrees what the recurring problems are, what causes each and what fixing it for good would take.
Shared knowledge1Agree the shared words for how recurring problems2Agree the recurring problemsShared conviction3Decide how the COO would permanently fix a recurring hub problemShared practice4Agree how your team responds to each recurring hub problem…5Rehearse the exact moment a recurring problem lands back…
DemoS2Own the fixShows you whether ward leads believe the permanent fix is theirs, and what stops them.
Shared knowledge1Quiz on where the permanent fix actually belongsShared conviction2Feel what it costs the team3Decide as the COO whether the permanent fix is the shift lead's jobShared practice4Sort real shift situations into the one correct response5Rehearse how shift leads respond when a familiar problem…
DemoS3Make the same callDecides how to handle the same recurring problem alone, compares, and aligns on what they fix and what gets escalated.
Shared knowledge1Agree the line between patching a recurring problemShared conviction2Decide alone and compare your calls on the same recurring…Shared practice3Sort recurring hub situations into the right response4Agree the order of steps when a recurring problem comes…
DemoS4Close it for goodPractises the steps that stop the problem returning: the cause, the owner, the check, the escalation when it is not theirs.
Shared knowledge1Quiz each other on the four steps that stop a recurring…Shared conviction2Decide the COO's call on recurring hub problemsShared practice3Put the steps of closing a recurring problem for good in…4Rehearse the exact moment a recurring problem lands back…
DemoPlay it yourself · a short demo · one exercise from session 3 · Make the Call
Alone first. Then the team agrees on one answer.
This is a taste, not the whole session. “Make the same call” runs 4 exercises with your own team, on a call or in a room. Here is one of them, on the real screens, played with four AI teammates, so you can feel how a session works.
Decide alone and compare your calls on the same recurring problem against the COO'sOn screen: Reframe each of these 4 recurring problem situations into the decision you would make alone
You are playing with 4 AI teammates. Every screen opens on its briefing: read it, then tap I’m ready.
Readiness intelligence · what you'll see as teams play
Know which of your ward leads would close a recurring problem where it happens, and where you should step in, before the next one lands on your desk.
Your company › Readiness intelligence › Recurring problemsEvery one of your ward leads stops the recurring problem where it happens, before it reaches the director of nursing
Readiness index81%Ready+55 pts25% participation + 25% progress + 50% alignment · Ready at 80
Shared knowledge48 → 88Shared conviction37 → 71Shared practice44 → 80
Participation94%36 of 38 people played at least once
Progress75%3 of 4 planned sessions completed
Alignment41% →78%119 of 152 points aligned
Failed alignment pointsWhere you should step in
Fix it here or send it upNot aligned in 11 of 30 playsShared knowledgeYour busiest wards · 20 ward leads
Is the permanent fix my job?"Not yet, we still have concerns" in 2 playsShared convictionYour newest ward leads · 8 people
Your ward leads could play this next week. Add your website to make it yours.
- 01 · 5 minConfirm the assumptionsCheck what we inferred about you and edit any text in place. Your edits are locked.
- 02 · 1 link per teamInvite your teamAny browser, any device. No account, nothing to install.
- 03 · after each playWatch readiness fill inYou see who played, what they agreed, and where to follow up.
Used by teams at



Free until you play live · ISO 27001 · EU data




Free until you play live · ISO 27001 · EU data