According to Donald Nelson, a physician and expert on quality, an organization will transform the culture only when it moves from improvement projects to improving systems. What is the correct order in which to effect systems change?

Question

Quizplus · Accepted Answer

The correct order to effect systems change is: project or intervention, microsystem change, mesosystem change, macrosystem change. This is because microsystem changes are the smallest and most specific, while macrosystem changes are the largest and most general. By starting with microsystem changes, organizations can build a foundation for larger-scale change.

According to Donald Nelson, a Physician and Expert on Quality