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Institute of Medicine Committee on Quality in Health Care
Crossing the Quality Chasm: A New Health System for the 21st Century
D. Buchanan, S. Abbott, J. Bentley, A. Lanceley, Julienne Meyer (2005)
Let's be PALS: User-Driven Organizational Change in Healthcare*British Journal of Management, 16
E. Desapriya (2004)
Canadian Adverse Events StudyCanadian Medical Association Journal, 171
M. Godfrey, E. Nelson, J. Wasson, J. Mohr, P. Batalden (2003)
Microsystems in health care: Part 3. Planning patient-centered services.Joint Commission journal on quality and safety, 29 4
E. Nelson, P. Batalden, K. Homa, M. Godfrey, Christine Campbell, L. Headrick, Thomas Huber, J. Mohr, J. Wasson (2003)
Microsystems in health care: Part 2. Creating a rich information environment.Joint Commission journal on quality and safety, 29 1
E. Nelson, P. Batalden, Thomas Huber, J. Mohr, M. Godfrey, L. Headrick, J. Wasson (2002)
Microsystems in health care: Part 1. Learning from high-performing front-line clinical units.The Joint Commission journal on quality improvement, 28 9
C. Vincent, Graham Neale, M. Woloshynowych (2001)
Adverse events in British hospitals: preliminary retrospective record reviewBMJ : British Medical Journal, 322
Anita Tucker, A. Edmondson (2003)
Why Hospitals Don't Learn from Failures: Organizational and Psychological Dynamics That Inhibit System ChangeCalifornia Management Review, 45
J. Reason (2000)
Education and debate
E.C. Nelson
Microsystems in health care
David Clair (2002)
Brave New Brain: Conquering Mental Illness in the Era of the GenomeHeredity, 89
R. Amalberti, Y. Auroy, D. Berwick, P. Barach (2005)
Five System Barriers to Achieving Ultrasafe Health CareAnnals of Internal Medicine, 142
J. Reason
Human error: models and management
Purpose – The purpose of this article is to advance critical debate in relation to a very critical issue in current healthcare management – namely “patient safety”. This is currently a very high profile issue. In its various guises such as clinical governance, integrated governance and healthcare governance the question of avoiding or at least minimising harm to patients is attracting a huge amount of attention. Considerable resources especially within the acute sector are allocated to the problem. But, despite the systematic attention, progress in healthcare compared with certain other sectors is slow and mistakes continue to occur. Hospital acquired infections and clinical errors have become a matter of acute public concern. Evaluations of the health service are critically influenced by adverse judgements on this dimension of care. Design/methodology/approach – The authors draw primarily upon relevant literature in order to make sense of recent empirical research in eight acute hospital trusts in the UK. The analysis, however, is relevant to healthcare systems around the world. Findings – The authors reveal how the massive investment in systems, service improvement mechanisms and clinical government regimes may not in themselves be enough. One reason why they may not be enough is that there can be a problem of gaining acceptance and legitimacy. Staff may see such managers as “policing” and “interfering”. There is then the danger of a vicious circle – more control but less effective control because of a feeling of alienation. The policing element is at best a final safety net not the prompt for improvement. They then identify six barriers and each is accompanied by a recommendation for its resolution. Practical implications – There are a number of implications for practice and for systems reform, which stem from the analysis. Two main recommendations stand out: they need to be handled together. First, the traditional model of the autonomous professional needs to be challenged by subjecting clinical practice to shared clinical governance procedures. Second, and simultaneously, there is a need to attend to underlying values. There is a need to revisit the issue of underpinning values so that clinical values and system‐wide/managerial values are congruent rather than separate or even in conflict. At this point, governance and leadership should come together. Originality/value – This paper provides useful information from the literature on current healthcare management.
Journal of Health Organisation and Management – Emerald Publishing
Published: Oct 31, 2008
Keywords: Clinical governance; Health services; Trusts; Leadership
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