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Even a great Quality System will fail, if the 
Quality Culture 
© 
The average person 
influence 5-6 people 
is not of equal standard
© 
DAY-2-DAY 
Daily decisions 
determine the success 
of your Quality System
© 
SYSTEM 
The Quality System 
supports making the 
right decisions …
© 
CULTURE 
… but the local 
Quality Culture 
determines what is 
actually done
© 
CULTURE 
… or ignored
© 
CONSEQUENCE 
This is why sites with 
same Quality System can 
display very different 
compliance levels
© 
WHAT 
But what is a strong 
Quality Culture?
© 
DEFINITION
© 
WHICH PATH?
© 
How to strengthen 
Quality Culture 
The average person 
influence 5-6 people
© 
1 
You cannot change 
culture by only 
changing culture
© 
FEASIBILITY 
You must ensure that 
the culture you want 
is feasible
© 
CLOSE GAPS 
Quality 
Culture 
Protecting product quality and patient safety 
Close gaps that prevent 
the right choices from 
being made
© 
CLOSE GAPS 
Finding gaps require 
insight in how the 
System support the 
Culture 
– and vice versa
© 
INNOVISOR SOLUTION
© 
2 
People listen to peers 
– not systems
© 
MOBILIZE INFLUENCE 
Engage and mobilize 
the most influential 
employees
© 
MOBILIZE INFLUENCE 
The top influencers 
influence 10 times as 
many as the average 
employee
© 
MOBILIZE INFLUENCE 
Difficult culture 
change requires 
support of the key 
influencers
© 
MOBILIZE INFLUENCE 
However, it is not 
enough to know the 
key influencers
© 
MOBILIZE INFLUENCE 
You also need to know 
the tribes, cliques and 
communities…
© 
MOBILIZE INFLUENCE 
Then you can select 
the right 3% to involve 
as your Quality 
Ambassadors
© 
QUALITY AMBASSADORS 
Quality ambassadors are the 
influential employees that 
colleagues go to if they have 
questions or concerns - and 
whose opinion they trust and 
respect
© 
INNOVISOR SOLUTION

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Quality position v2