Towards safer, better health care: leveraging the strength of networks

Show simple item record Braithwaite, Jeffrey en Runciman, William en Merry, Alan en 2015-07-29T22:56:53Z en 2009 en
dc.identifier.citation Quality and Safety in Health Care, 2009, 18 (1), pp. 37 - 41 en
dc.identifier.issn 1475-3901 en
dc.identifier.uri en
dc.description.abstract OBJECTIVES: To sustain an argument that harnessing the natural properties of sociotechnical systems is necessary to promote safer, better healthcare. METHODS: Triangulated analyses of discrete literature sources, particularly drawing on those from mathematics, sociology, marketing science and psychology. RESULTS: Progress involves the use of natural networks and exploiting features such as their scale-free and small world nature, as well as characteristics of group dynamics like natural appeal (stickiness) and propagation (tipping points). The agenda for change should be set by prioritising problems in natural categories, addressed by groups who self select on the basis of their natural interest in the areas in question, and who set clinical standards and develop tools, the use of which should be monitored by peers. This approach will facilitate the evidence-based practice that most agree is now overdue, but which has not yet been realised by the application of conventional methods. CONCLUSION: A key to health system transformation may lie under-recognised under our noses, and involves exploiting the naturally-occurring characteristics of complex systems. Current strategies to address healthcare problems are insufficient. Clinicians work best when their expertise is mobilised, and they flourish in groupings of their own interests and preference. Being invited, empowered and nurtured rather than directed, micro-managed and controlled through a hierarchy is preferable. en
dc.publisher BMJ Publishing Group en
dc.relation.ispartofseries Quality and Safety in Health Care en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.rights.uri en
dc.title Towards safer, better health care: leveraging the strength of networks en
dc.type Journal Article en
dc.identifier.doi 10.1136/qshc.2007.023317 en
pubs.issue 1 en
pubs.begin-page 37 en
pubs.volume 18 en
dc.description.version VoR - Version of Record en
dc.rights.holder Copyright: BMJ Publishing Group en
dc.identifier.pmid 19204130 en
pubs.end-page 41 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 84695 en
dc.identifier.eissn 1475-3901 en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 19204130 en

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