Yes / Objective: 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. 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/. |
Page generated in 0.0022 seconds