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Spittal MJ, Bismark MM, Studdert DM. Identification of practitioners at high risk of complaints to health profession regulators. BMC Health Serv Res. 2019;19(1):380
A practicable method of predicting the risks of complaints against doctors healthcare professionals, especially doctors and dentists. A useful spin off of an earlier study. (B... more
A practicable method of predicting the risks of complaints against doctors healthcare professionals, especially doctors and dentists. A useful spin off of an earlier study. (Bismark et al Entry no 46 in this database) Fig 1 showing that a score of >35 predicts certainty of another complaint within the next 24 months should be noted by all medical administrators and regulators with responsibilities in this area.
19
2024-02-05
Anderson RA, McDaniel Jr RR. Managing health care organizations: where professionalism meets complexity science. Health Care Management Review. 2000;25(1):83.
An informative and detailed review of the nature of healthcare organisations as complex adaptive systems, and the consequences for those working at the interface between manag... more
An informative and detailed review of the nature of healthcare organisations as complex adaptive systems, and the consequences for those working at the interface between managers and healthcare professionals. Figure 1 provides a useful list of the leadership tasks needed in complex adaptive systems compared with those in a conventional bureaucracy
459
2024-02-05
Crow SM, Hartman SJ, Nolan TE, Zembo M. A Prescription for the Rogue Doctor: Part II Ready, Aim, Fire. Clinical Orthopaedics and Related Research®. 2003;411:340.
A more detailed and useful description of a well designed system for dealing with rogue doctors as outlined by the same authors in Part 1 of their paper.
16
2024-02-05
Crow SM, Hartman SJ, Nolan TE, Zembo M. A prescription for the rogue doctor: part I--begin with diagnosis. Clin Orthop Relat Res. 2003;(411):334-339.
An instructive review of the small but very troublesome group of rogue sociopathic doctors, an exploration of the reasons why these individuals are often inadequately managed ... more
An instructive review of the small but very troublesome group of rogue sociopathic doctors, an exploration of the reasons why these individuals are often inadequately managed by organisations and their colleagues and an outline of a better performance management system
13
2024-02-05
Gawande A. Complications : A Surgeon’s Notes on an Imperfect Science. Profile Books; 2002.
Another masterly exposition by surgeon-writer Atul Gawande about the causes consequences and learnings to be taken from accounts of complications - many from his own experienc... more
Another masterly exposition by surgeon-writer Atul Gawande about the causes consequences and learnings to be taken from accounts of complications - many from his own experiences
2024-02-05
Gawande A. Better : A Surgeon’s Notes on Performance. Profile; 2007.
A lucid and very readable account by an accomplished surgeon and writer about a variety of ways in a variety of environments in which clinical practice improvements have been... more
A lucid and very readable account by an accomplished surgeon and writer about a variety of ways in a variety of environments in which clinical practice improvements have been needed and accomplished.
2024-02-05
Simis MJ, Madden H, Cacciatore MA, Yeo SK. The lure of rationality: Why does the deficit model persist in science communication? Public understanding of science. 2016;25(4):400-414.
An account of the origins and limitations of the commonly used 'deficit model' of science communication and of how the public could be more effectively engaged informed
693
2024-02-05
Williams P. The life and times of the boundary spanner. Journal of Integrated Care. Published online 2011.
A useful account of the characteristics and activities of a small but important group of people in any large multi-unit organisation who promote, often unknowingly inter-group... more
A useful account of the characteristics and activities of a small but important group of people in any large multi-unit organisation who promote, often unknowingly inter-group communications and collaborations
117
2024-02-05
McKie J, Richardson J. The rule of rescue. Social science & medicine. 2003;56(12):2407-2419.
An overview of the natural and ethically admirable but often very costly desire of humans to extend efforts to rescue individuals in acute peril. This presents the difficult ... more
An overview of the natural and ethically admirable but often very costly desire of humans to extend efforts to rescue individuals in acute peril. This presents the difficult dilemma of balancing the competing demands of using a lot of limited resources on one individual versus the value of the same resources distributed more equitably tho' less dramatically over a larger population
392
2024-02-05
Harvey G, Jas P, Walshe K, Skelcher C. Absorptive capacity: How organisations assimilate and apply knowledge to improve performance. Connecting knowledge and performance in public services: From knowing to doing. Published online 2010:226-250.
A review of various theories of organisational learning but mostly focused on the concept of absorptive capacity. It includes a summary of some empirical studies by the author... more
A review of various theories of organisational learning but mostly focused on the concept of absorptive capacity. It includes a summary of some empirical studies by the authors of how effectively or otherwise a variety of public organisations absorb and apply knowledge within the parameters of this model.
29
2024-01-30
Edmondson A. Strategies for Learning from Failure. Harvard Business Review.
A useful conceptual map of the spectrum of how organisations should classify and respond to failure - ranging from blameworthy deviance to the negative results of exploratory ... more
A useful conceptual map of the spectrum of how organisations should classify and respond to failure - ranging from blameworthy deviance to the negative results of exploratory and hypothesis testing
818
2024-01-29
Zahra SA, George G. Absorptive capacity: A review, reconceptualization, and extension. Academy of management review. 2002;27(2):185-203.
A lengthy but important review and re-thinking of the original concept by Cohen and Levinson (qv this database Entry no 55) of the ability of any organisation including those... more
A lengthy but important review and re-thinking of the original concept by Cohen and Levinson (qv this database Entry no 55) of the ability of any organisation including those in the healthcare industry to discover and use new information. These authors make the key separation into two phases the potential vs the realized absorptive capacity for organizational learning innovation, and the factors that impair this transformation.
15,701
2024-01-27
Tucker AL, Edmondson AC, Spear S. When problem solving prevents organizational learning. Journal of Organizational Change Management. 2002;15(2):122-137.
An instructive study of two very different types of reactions to problems (encountered by nurses at a rate of around one every one and a half hours or so.) The vast majority, ... more
An instructive study of two very different types of reactions to problems (encountered by nurses at a rate of around one every one and a half hours or so.) The vast majority, 92 % - use first order problem solving methods that are quick and consistent with their professional ethos, but don't fix any underlying systemic issues, and therefore don't prevent recurrences. Only 8% are second order problem solvers that do try to fix the primary causes. The first order problem solvers are generally more popular with their colleagues and managers than the second, who are often viewed as "noisy disrupters" but who are the canaries in the healthcare coal mine.
410
2023-12-28
Ambady N, LaPlante D, Nguyen T, Rosenthal R, Chaumeton N, Levinson W. Surgeons' tone of voice: A clue to malpractice history. Surgery. 2002;132(1):5-9.
Two 10 second extracts of first and last minute of consultation conversations between surgeons and patients significantly associated with litigation risk
587
2023-12-28
Amrhein V, Greenland S, McShane B. Scientists rise up against statistical significance. Nature. 2019;567(7748):305.
Overview of growing concerns about inappropriate use of t-tests and wrong designations that results are or are not 'statistically significant' - based on consensus statement t... more
Overview of growing concerns about inappropriate use of t-tests and wrong designations that results are or are not 'statistically significant' - based on consensus statement to this effect by over 800 scientists.
2,619
2023-12-28
Argyris C. Double loop learning in organizations. Harvard business review. 1977;55(5):115-125.
A persuasive theory about why many organizational strategies and operational objectives fail, This is reckoned to be due to the mismatch between the assumptions and often over... more
A persuasive theory about why many organizational strategies and operational objectives fail, This is reckoned to be due to the mismatch between the assumptions and often over-simplified plans and objective of senior management and the more complicated realities of the workplace.
3,911
2023-12-28
Arrow KJ. Uncertainty and the Welfare Economics of Medical Care. The American Economic Review. 1963;53(5):941-973.
A paper by one of the 'founding fathers' of health economics describing particular constraints of medical care as including the need to manage uncertainty in both disease proc... more
A paper by one of the 'founding fathers' of health economics describing particular constraints of medical care as including the need to manage uncertainty in both disease processes and in the efficacy of treatments and the asymmetry of information between patients and doctors
12,066
2023-12-28
Badgery-Parker T, Pearson SA, Chalmers K, et al. Low-value care in Australian public hospitals: prevalence and trends over time. BMJ Qual Saf. Published online August 6, 2018:bmjqs-2018-008338. doi:10.1136/bmjqs-2018-008338
A study in Australian hospitals that between 11 and 19% of episodes of care (using 2 definitions) were considered to be of low value and that these invoked between 7 an 14.7% ... more
A study in Australian hospitals that between 11 and 19% of episodes of care (using 2 definitions) were considered to be of low value and that these invoked between 7 an 14.7% of total costs
87
2023-12-28
Basch E, Deal AM, Kris MG, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: a randomized controlled trial. Journal of Clinical Oncology. Published online 2015:JCO630830.
A controlled trial showing that oncology patients given access to an online PROMS systems has better outcomes
2,050
2023-12-28
Bate P, Robert G, Bevan H. The next phase of healthcare improvement: what can we learn from social movements? Quality and Safety in Health Care. 2004;13(1):62-66.
An interesting speculation around the reality that many attempts to improve the safety and quality of healthcare fail and that (in the UK) only around 15% of NHS staff partici... more
An interesting speculation around the reality that many attempts to improve the safety and quality of healthcare fail and that (in the UK) only around 15% of NHS staff participate in centrally driven 'programmatic' initiatives. New approaches based on the successful elements of social movements are suggested.