Blog Archives

How research can improve patient care?

Life-changing research can only benefit patients if they receive an appropriate intervention (as part of normal clinical care)  implemented in the way it was designed. We need to reduce the time lag, currently estimated at 17 years, between research discovery

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Posted in collaboration, culture, health care services, implementation, improvement, organisation, patients, research culture, sustainability, using research

Stakeholders: key to understanding context?

How should you decide which aspects of context to analyse in order to apply research to improve clinical practice? Can I suggest that stakeholders who have high interest, influence and power are best able to identify the key aspects of

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Posted in clinical practice, context, culture, evidence, health care services, improvement, leadership

Different circumstances different outcomes

In my quest to better understand which aspects of the local environment influence the way complex interventions are delivered, I was alerted to a comprehensive realist review of human resource management interventions that were designed to improve health workers’ performance

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Posted in behaviour, complex interventions, culture, implementation, improvement

Leaders vs Managers when implementing improvement?

What if I answer my question in the first sentence, saying both are important – will you read on to find out more? It is common to summarise differences between leadership and management; The manager’s job is to plan, organize

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Posted in change, implementation, improvement, leadership, management

Do theories make knowledge more understandable?

When learning about a new or complex area, it is often difficult to know where to start to make sense of different observations, to identify which components are important, and how to link similar things together. Knowledge itself is often

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Posted in behaviour, change, improvement, information, theories, thinking

Why is context important in healthcare improvement?

Context is the new keyword to describe the conditions present in the environment when an intervention is carried out to improve healthcare. It is usually excluded from controlled experimental studies, so that the treatment effect can be attributed to the

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Posted in change, complex interventions, context, implementation, improvement, intervention, organisation

What skills do you need to improve?

Many of us have accepted challenges to improve a service in which we have worked. Sometimes we were successful. But often when were not, we just moved on to a different place and project. Sometimes lessons have been learned, but

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Posted in change, implementation, improvement, leadership, learning, management, organisation

Keys to improving healthcare services

Can innovation be led by clinicians and professionals in local healthcare services? Can these innovations drive improved services for patients? It seems possible – at least in a recent learning report produced by the Health Foundation, who sponsored 32 Shine

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Posted in health care services, healthcare professional, implementation, improvement, information, innovation, learning, organisation