To focus on improving the system and not on individual mistakes; To focus on outcomes, not just the process; To pay attention to underlying systems; to listen carefully; To define clear goals and aims early-and stick to them; To collect good quality baseline factuals; To not jump into conclusions; To empower leaders and frontline team members are integrally involved at all times; To always allocate someone responsible for moving projects forward; To track performance over time through data and commit to ongoing evaluation and tracking.