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Improvement Grand Rounds turns its lens on its own case list

Improvement Grand Rounds turns its lens on its own case list

The School of Continuous Improvement's case-review seminar series turns its next session on its own selection process, with Lecturer Solveig Adeyemi presenting the escalation-and-closure framework she built for reports that never reach a decision-maker.

Lecturer Solveig Adeyemi's escalation-and-closure framework comes to the session that decides which cases the format ever hears

Improvement Grand Rounds exists to put a case in front of an audience that would otherwise never hear it — but the format only ever hears the cases a presenter agrees to bring. Its next session turns that machinery on itself, asking what happens to a case between the moment someone first flags it and the moment it does, or doesn’t, make the agenda.

Dr Solveig Adeyemi, Lecturer in the School of Continuous Improvement, will bring the tracking method from her own work on incident reports — first submission, escalation, triage, closure — and apply it to Grand Rounds’ own case list: who nominates a case, what gets asked before it is scheduled, and what a convenor quietly declines to put in front of the room.

A case that never gets escalated isn’t a case that failed. It’s a case nobody asked about twice, and that’s a much harder thing to notice.

— Dr Solveig Adeyemi, Lecturer, School of Continuous Improvement

“I’ve kept a rough tally of the cases that didn’t make it to a session, more out of habit than any plan to use it,” said Dr Bram Ntuli, Lecturer and Convenor of Improvement Grand Rounds. “Solveig asked to see it before I’d finished explaining what it was.”

The session sits inside the School’s evaluation-ecosystem agenda, and Dr Ntuli expects it to change how future cases are put forward rather than settle the question in one sitting. Improvement Grand Rounds meets later this teaching period; venue and time to follow closer to the date.