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Asking healthcare professionals to identify stupid stuff in their workplaces is like asking kindergartners to smash a piñata. The blunt name of Hawaii Pacific Health’s program is exactly why it worked: No one wants to streamline collaborative workflows, but everyone wants to point out stupidities. In addition to actually fixing problems, the GROSS (Get Rid of Stupid Stuff) system opened lines of communication and empowered staff. Dr. Melinda Ashton, the health system’s chief medical officer, concedes that all health systems are different, but she says the key universal tactic is to “speak up, to identify something, to come up with an example ... something that others will shake their heads at and say ‘you’ve got to be kidding me, we’re really doing that?!’” Sources: ➤ Ashton M. Getting rid of stupid stuff. N Engl J Med. 2018;379(19):1789-1791. doi:10.1056/NEJMp1809698 ➤ Vartabedian, B. Getting Rid of Stupid Stuff – How to Clean Clinical Workflows. 33 Charts. Dec. 7, 2018. https://33charts.com/getting-rid-stupid-stuff/