| Getting going together: can clinical teams and managers collaborate to identify problems and initiate improvement? | |
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MedLine Citation:
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PMID: 15127692 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A clear aim is key for the success of improvement projects, yet many fail already at this stage. We studied how clinical teams and managers at a university hospital in Sweden identified problems and defined aims as they initiated 24 process improvement projects. Categorizing and comparing problems at 3 stages of problem definition, we found that the majority of problems fell into 1 of 3 categories: information issues, poor procedures, and waiting times. Going through these stages, managers and clinical teams prioritized waiting-time problems. We show how managers can ask such teams to quickly identify problems suited for improvement projects through this step-wise, facts-based approach. We conclude that they can add their management perspective when giving specific assignments, to harness the combined benefits of both a bottom-up and a top-down approach to improvement. |
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Authors:
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Johan Thor; Bo Herrlin; Karin Wittlöv; John Skår; Mats Brommels; Olle Svensson |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Quality management in health care Volume: 13 ISSN: 1063-8628 ISO Abbreviation: Qual Manag Health Care Publication Date: 2004 Apr-Jun |
Date Detail:
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Created Date: 2004-05-06 Completed Date: 2004-05-27 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9306156 Medline TA: Qual Manag Health Care Country: United States |
Other Details:
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Languages: eng Pagination: 130-42 Citation Subset: H |
Affiliation:
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Medical Management Center, Karolinska Institute, Nobels väg 15 A, S-171 77 Stockholm, Sweden. johan.thor@cmi.ki.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cooperative Behavior* Decision Making, Organizational Hip Fractures / surgery Hospital Administrators Hospitals, University / standards* Humans Institutional Management Teams / organization & administration* Patient Care Team / organization & administration* Pilot Projects Problem Solving Process Assessment (Health Care) / organization & administration* Quality Assurance, Health Care / organization & administration* Sweden Waiting Lists |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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