Marlot Kuiper

147 How standards work out in medical teams: On routine dynamics Soup Protocol For many years, I have been making soup. Delicious vegetable soup. Nothing wrong with that. A few years ago, an acquaintance said to me: “Why don’t you write down how you make the soup?” I thought that was a good idea, so I wrote everything down and called it ‘soup protocol’. When I made my soup, I did everything exactly following protocol. Then someone said: “If you precisely write down all the ingredients that you put in the soup, you can thick off the boxes.” All said and done. […] It took quite a lot of time but I took that for granted. One day, my aunt visited me. She had been on a holiday, and she had learned something new: JCI. “That means: Just Control Intensively”, she said. “There are lists that prescribe the size of the cooking pan, the length of the dipper, the cups for the ingredients, and there are protocols for the interior of the kitchen.” “Besides, you can’t wear your kitchen apron anymore, but you have to make the soup in your own clothing, that’s way more homely.” “And here we have lists for the registration, stirring your soup left- or rightwards, the fat percentage, the calories, and the protocols naturally, the BIG-registration, the observation lists, and the safety certificates..” “And of course, all these lists will be monitored and updated regularly.” “Moreover, we have an accreditation plan, which means that we are going to look into each other’s pans.” “We will organize evaluations and peer-to- peer coaching.” “In short, everything has been taken care of!” You will understand, this is all very handy and stuff and there’s something to be said for all this. But, when ticking all these boxes, I can’t help but think “Who is still concerned about the soup?!” Anonymous Figure 9: Soup Protocol 5