2019
DOI: 10.1136/bmj.l1039
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Can we import improvements from industry to healthcare?

Abstract: Healthcare has more to learn from other industries, including aviation—but it’s more complex than we think argue Carl Macrae and Kevin Stewart

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Cited by 29 publications
(33 citation statements)
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“…The impact of organisational culture on quality, reporting of data and safety in non-medical organisations is well documented 12–15. Monitoring staff perceptions of their work environment and their organisational culture is used by managers to discover what is deemed meaningful and makes organisational sense to employees 16 17.…”
Section: Introductionmentioning
confidence: 99%
“…The impact of organisational culture on quality, reporting of data and safety in non-medical organisations is well documented 12–15. Monitoring staff perceptions of their work environment and their organisational culture is used by managers to discover what is deemed meaningful and makes organisational sense to employees 16 17.…”
Section: Introductionmentioning
confidence: 99%
“…Contextual and cultural differences must be taken into account when importing improvement approaches from other industries 23. Differences must be well understood to adapt the approach to the specific requirements of the new context 23.…”
Section: What Is Lean?mentioning
confidence: 99%
“…Contextual and cultural differences must be taken into account when importing improvement approaches from other industries 23. Differences must be well understood to adapt the approach to the specific requirements of the new context 23. Therefore, delivering value for healthcare using a Lean approach requires understanding of how Lean views customer value, how this concept should be translated to the healthcare context, and practical methods for engaging stakeholders in defining and delivering value.…”
Section: What Is Lean?mentioning
confidence: 99%
“…Examples of practice changes that might support this principle include adopting evidence-based approaches for risk control, 50,51,57,58,67,68 adopting proactive disclosure and settlement, and reducing or deimplementing 69,70 practices that have not proven effective, such as overuse of retrospective risk assessment at the expense of prospective risk assessment 54,71,72,73,74 or excessive focus on categorizing and reporting risks in ways that do not inform action. 75,76,77,78 Respect for privacy. Respect for privacy is well-integrated into risk management practice-so much so that the code of silence can cause risk managers harm.…”
Section: Additional Principlesmentioning
confidence: 99%