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dc.contributor.authorKeen, J.
dc.contributor.authorNicklin, E.
dc.contributor.authorWickramasekera, N.
dc.contributor.authorLong., A.
dc.contributor.authorRandell, Rebecca
dc.contributor.authorGinn, C.
dc.contributor.authorMcGinnis, E.
dc.contributor.authorWillis, S.
dc.contributor.authorWhittle, J.
dc.date.accessioned2020-03-04T11:29:10Z
dc.date.accessioned2020-05-01T13:25:26Z
dc.date.available2020-03-04T11:29:10Z
dc.date.available2020-05-01T13:25:26Z
dc.date.issued2018-11
dc.identifier.citationKeen J, Nicklin E, Wickramasekera N et al (2018) From embracing to managing risks. BMJ Open. 8(11): e022921.en_US
dc.identifier.urihttp://hdl.handle.net/10454/17757
dc.descriptionYesen_US
dc.description.abstractObjective: To assess developments over time in the capture, curation and use of quality and safety information in managing hospital services. Setting: Four acute National Health Service hospitals in England. Participants: 111.5 hours of observation of hospital board and directorate meetings, and 72 hours of ward observations. 86 interviews with board level and middle managers and with ward managers and staff. Results: There were substantial improvements in the quantity and quality of data produced for boards and middle managers between 2013 and 2016, starting from a low base. All four hospitals deployed data warehouses, repositories where datasets from otherwise disparate departmental systems could be managed. Three of them deployed real-time ward management systems, which were used extensively by nurses and other staff. Conclusions: The findings, particularly relating to the deployment of real-time ward management systems, are a corrective to the many negative accounts of information technology implementations. The hospital information infrastructures were elements in a wider move, away from a reliance on individual professionals exercising judgements and towards team-based and data-driven approaches to the active management of risks. They were not, though, using their fine-grained data to develop ultrasafe working practices.en_US
dc.description.sponsorshipNIHR Health Service and Delivery Research (HS&DR) programme, project 13/07/68.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1136/bmjopen-2018-022921en_US
dc.rights© Author(s) 2018. Re-use permitted under CC BY. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.en_US
dc.subjectQuality and safety informationen_US
dc.subjectManaging hospital servicesen_US
dc.subjectWard management systemsen_US
dc.subjectInformation infrastructuresen_US
dc.titleFrom embracing to managing risksen_US
dc.status.refereedYesen_US
dc.date.Accepted2018-10-12
dc.date.application2018-11-25
dc.typeArticleen_US
dc.type.versionPublished versionen_US
dc.date.updated2020-03-04T11:29:16Z
refterms.dateFOA2020-05-01T13:26:03Z


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