NHS Modernisation Agency's way to improve health care

Rogers, Hugh; Silvester, Kate; Copeland, Jill

doi:10.1136/bmj.328.7437.463

Cited by 18 publications

(17 citation statements)

References 3 publications

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“…Similarly, in a health service undergoing a process of ‘modernisation’, which seeks a transformation from what Government perceives as outdated ways of working into a systematised and evidence‐based NHS (Rogers, Silvester and Copeland 2004), the role of the manager is to introduce order, control and standardisation. Management textbooks and Government policy documents are replete with information which helps construct the identity of the good manager, to which all managers should aspire (Drucker 1999, Stewart 1982, Department of Health 2002a and b).…”

Section: Rules and Identity – Findings From The Literaturementioning

confidence: 99%

Rules, safety and the narrativisation of identity: a hospital operating theatre case study

McDonald

Waring

Harrison

2006

Sociology Health & Illness

115

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Patient safety has become a health policy priority around the world. Acknowledging that 'to err is human' has led to attempts to design systems and rules that limit the capacity for individual discretion and thereby reduce clinical errors. In addition, great emphasis is being placed on the need to eradicate cultures of blame, which are assumed to discourage clinicians from reporting errors, and to establish a 'safety culture', which encourages openness and honesty. These efforts are underpinned by cognitive psychological explanations of the way individuals process information, which leads them to make errors of judgement. This paper examines the attitudes of hospital doctors and managers to the implementation of rules in the context of patient safety. Our analysis, using interpretive research focused on narrative identity, provides an alternative perspective to that offered by the current safety orthodoxy. This leads us to suggest that the achievement of a 'safety culture' is a remote prospect. The failure to follow formal written rules relates not to a deficiency in the cognitive capacity of individuals acting in isolation, but to the identities which individuals occupy, create and negotiate and the social rules (as opposed to clinical guidelines or protocols) which correspond to those identities.

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Section: Rules and Identity – Findings From The Literaturementioning

confidence: 99%

Rules, safety and the narrativisation of identity: a hospital operating theatre case study

McDonald

Waring

Harrison

2006

Sociology Health & Illness

115

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“…Tracking down all the usage of such methods is not easy at present, but those involved, for instance, in the Improvement Partnership for Hospitals recently stated that they are using such methods [35] and the NHS is commissioning research to better understand how process improvement is being conducted throughout the health system [36].…”

Section: Other Methodsmentioning

confidence: 99%

An Agenda for Healthcare and Information Simulation

Young

2005

Health Care Manage Sci

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With healthcare systems around the world undergoing redesign and refocusing on patients, there is a strategic role that simulation modellers could play. The creation of strategic scenarios that work according to process philosophies--as used, for instance, in manufacturing--could help to deliver high quality care to millions of people. There may, in addition, be serendipitous synergies between some of these industrial process philosophies and known simulation techniques. This paper addresses some strategic issues around the processes of care delivery, and considers the resultant research agenda. Not only is this strategic agenda one that would help care providers, but it is possible to derive some concepts that enable technology to be valued as part of care provision. The paper explores how, in general terms, value propositions may be derived that are acceptable to commissioning agencies and accessible to technology vendors. Were it possible to formalise these, they would be of significant benefit both to healthcare service providers and to their suppliers.

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“…Por lo tanto el propósito de Lean Healthcare es crear valor para el paciente y el valor es creado cuando se eliminan los desperdicios del proceso, con el propósito de darle un adecuado diagnóstico y tratamiento ( [24], [39], [43]; [44]). Muchos de los impactos y resultados de la aplicación de Lean Healthcare son: mejor cuidado de los pacientes, mejor calidad en los procesos de atención, mejor diseño de los procesos, mayor rendimiento financiero, mayor valor para el paciente, aumento de la productividad y oportuna prestación de servicios, mediante la reducción de los tiempos de espera, reducción de errores, incidentes y procedimientos inadecuados, y la disminución de costos ( [11], [22], [24], [45]; [46]; [47]; [48]; [49]; [50]; [51]; [52]; [53]; [54]; [55].…”

Section: Figura 4 Principales Autoresunclassified

Lean Healthcare: Una Revisión Bibliográfica Y Futuras Líneas De Investigación

Orjuela

Pimiento

2015

Sci. tech

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Resumen-La filosofía Lean a través del tiempo ha evolucionado y ha sido implementada en varios tipos de empresas tanto en el sector manufacturero como en el de los servicios, lo cual se evidencia en el gran número de estudios que investigan sobre la implementación de lean en dichos sectores. El propósito de este estudio es analizar las tendencias de las publicaciones, identificar los autores más influyentes y describir las futuras investigaciones en la aplicación de Lean en el sector salud. En esta investigación se presentan los resultados de un análisis bibliométrico realizadas a las publicaciones científicas acerca de la filosofía Lean Healthcare durante el periodo 1990-2015, en la base de datos: Isi Web of Knowladge, Scopus y PubMed. Los resultados de esta investigación contribuyen a identificar tópicos emergentes y ser un marco de referencia para futuras investigaciones en este tema de investigación.Palabras clave-análisis bibliómetrico, lean healthcare, servicios en salud, tendencias.Abstract-The lean philosophy through time, it has evolved and has been implemented in several types of companies both in the manufacturing sector and services, which is evident in the large number of studies that investigate on the implementation of lean in those sectors. The purpose of this study is to analyze the trends of the publications, identify the most influential authors and describe the future research in the application of Lean in the health sector. In this research presents the results of a bibliometric analysis carried out to the scientific publications about the philosophy of Lean Healthcare during the period 1990-2015, in the database: ISI Web of Knowladge, Scopus and PubMed. The results of this research will help to identify emerging topics and be a framework of reference for future research in this research topic.Key Word -bibliometric analysis, lean healtcare, health services, trends. , todas las definiciones que se plantean en las referencias anteriores son comunes ya que describen a Lean como una filosofía centrada en cumplir satisfactoriamente las necesidades del cliente, utilizando todos los recursos de producción disponibles con un mínimo de desperdicios, con la mayor calidad y al menor costo. Se puede concluir entonces con [8] que el propósito de Lean es minimizar las actividades que no agregan valor o desperdicios, y mejorar las actividades que si lo hacen; por lo tanto, se trata de la entrega del máximo valor a los clientes, mientras se utiliza la menor cantidad de recursos. I. INTRODUCCIÓN El término Lean¿Qué hizo que el concepto de Lean Manufacturing desarrollado en las últimas décadas por la empresa Toyota sea tan atractivo tanto para los académicos como para los empresarios? En primer lugar fue en Toyota donde se definió el propósito fundamental de la filosofía lean en los procesos productivos: eliminar desperdicios y agregar valor, lo cual permitió a los académicos y empresarios incorporar esta filosofía lean progresivamente a otros tipos de procesos de cualquier tipo de organización, por lo tanto...

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NHS Modernisation Agency's way to improve health care

Cited by 18 publications

References 3 publications

Rules, safety and the narrativisation of identity: a hospital operating theatre case study

Rules, safety and the narrativisation of identity: a hospital operating theatre case study

An Agenda for Healthcare and Information Simulation

Lean Healthcare: Una Revisión Bibliográfica Y Futuras Líneas De Investigación

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