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A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting

Changes in healthcare tend to be project-based with whole system change, which acknowledges the interconnectedness of socio-technical factors, not the norm. This paper attempts to address the question of whole system change posed by the special issue and brings together other research presented in t...

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Autores principales: Ward, Marie E., Daly, Ailish, McNamara, Martin, Garvey, Suzanne, Teeling, Sean Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835196/
https://www.ncbi.nlm.nih.gov/pubmed/35162269
http://dx.doi.org/10.3390/ijerph19031246
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author Ward, Marie E.
Daly, Ailish
McNamara, Martin
Garvey, Suzanne
Teeling, Sean Paul
author_facet Ward, Marie E.
Daly, Ailish
McNamara, Martin
Garvey, Suzanne
Teeling, Sean Paul
author_sort Ward, Marie E.
collection PubMed
description Changes in healthcare tend to be project-based with whole system change, which acknowledges the interconnectedness of socio-technical factors, not the norm. This paper attempts to address the question of whole system change posed by the special issue and brings together other research presented in this special issue. A case study approach was adopted to understand the deployment of a whole system change in the acute hospital setting along four dimensions of a socio-technical systems framework: culture, system functioning, action, and sense-making. The case study demonstrates evidence of whole system improvement. The approach to change was co-designed by staff and management, projects involving staff from all specialities and levels of seniority were linked to each other and to the strategic objectives of the organisation, and learnings from first-generation projects have been passed to second and third-generation process improvements. The socio-technical systems framework was used retrospectively to assess the system change but could also be used prospectively to help healthcare organisations develop approaches to whole system improvement.
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spelling pubmed-88351962022-02-12 A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting Ward, Marie E. Daly, Ailish McNamara, Martin Garvey, Suzanne Teeling, Sean Paul Int J Environ Res Public Health Article Changes in healthcare tend to be project-based with whole system change, which acknowledges the interconnectedness of socio-technical factors, not the norm. This paper attempts to address the question of whole system change posed by the special issue and brings together other research presented in this special issue. A case study approach was adopted to understand the deployment of a whole system change in the acute hospital setting along four dimensions of a socio-technical systems framework: culture, system functioning, action, and sense-making. The case study demonstrates evidence of whole system improvement. The approach to change was co-designed by staff and management, projects involving staff from all specialities and levels of seniority were linked to each other and to the strategic objectives of the organisation, and learnings from first-generation projects have been passed to second and third-generation process improvements. The socio-technical systems framework was used retrospectively to assess the system change but could also be used prospectively to help healthcare organisations develop approaches to whole system improvement. MDPI 2022-01-22 /pmc/articles/PMC8835196/ /pubmed/35162269 http://dx.doi.org/10.3390/ijerph19031246 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ward, Marie E.
Daly, Ailish
McNamara, Martin
Garvey, Suzanne
Teeling, Sean Paul
A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting
title A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting
title_full A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting
title_fullStr A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting
title_full_unstemmed A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting
title_short A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting
title_sort case study of a whole system approach to improvement in an acute hospital setting
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835196/
https://www.ncbi.nlm.nih.gov/pubmed/35162269
http://dx.doi.org/10.3390/ijerph19031246
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