We can often take for granted processes or practices we see daily, but taking a systematic approach to observation can help us look at the way we work with fresh eyes and provide valuable data to understand the current state. It can be helpful to ask someone unfamiliar with what you want to observe to help with this, to provide a new perspective.

Getting started with observation approaches:

• Shadowing the patient journey - Following the steps a patient takes through a particular pathway can provide powerful data, both quantitative (e.g. wait times) and qualitative experiential.
• Staff shadowing - Shadowing staff through a process, if appropriate, and asking them their experiences can provide valuable insights into delays, challenges or issues they may face.
• Observation of practice - This involves observing activities or interactions within a time period in an area care is delivered, such as a ward or waiting room. It may be helpful to agree a proforma for recording observations if different people will be observing.
• Spaghetti diagram - This observes the physical movement of someone or something in an area. It can be used to identify unnecessary movement and highlight opportunities to make processes or environments more efficient.

Remember being observed can make people uncomfortable so be sure to explain the purpose of what you're doing, taking a curious but supportive approach.