Yes / 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. / NIHR Health Service and Delivery Research (HS&DR) programme, project 13/07/68.
| Identifer | oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/17757 |
| Date | 04 March 2020 |
| Creators | Keen, J., Nicklin, E., Wickramasekera, N., Long., A., Randell, Rebecca, Ginn, C., McGinnis, E., Willis, S., Whittle, J. |
| Source Sets | Bradford Scholars |
| Language | English |
| Detected Language | English |
| Type | Article, Published version |
| Rights | © Author(s) 2018. This is an open access article distributed in accordance with the Creative Commons CC-BY license ( https://creativecommons.org/licenses/by/4.0/), CC-BY |
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