Imperial College London
Alternate

Dr Sam Pannick

Faculty of Medicine, Faculty of Medicine Centre

 
 
 
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Contact

 

s.pannick

 
 
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Location

 

Medical SchoolSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Pannick:2015:10.1136/bmjqs-2015-004453,
author = {Pannick, S and Sevdalis, N and Athanasiou, T},
doi = {10.1136/bmjqs-2015-004453},
journal = {BMJ Quality & Safety},
pages = {716--725},
title = {Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities},
url = {http://dx.doi.org/10.1136/bmjqs-2015-004453},
volume = {25},
year = {2015}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Despite taking advantage of established learning from other industries, quality improvementinitiatives in healthcare may struggle to outperform secular trends. The reasons for this arerarely explored in detail, and are often attributed merely to difficulties in engaging cliniciansin quality improvement work. In a narrative review of the literature, we argue that this focuson clinicians, at the relative expense of managerial staff, has proven counterproductive.Clinical engagement is not a universal challenge; moreover, there is evidence that managers– particularly middle managers – also have a role to play in quality improvement. Yetmanagerial participation in quality improvement interventions is often assumed, rather thanproven. We identify specific factors that influence the coordination of frontline staff andmanagers in quality improvement, and integrate these factors into a novel model: the modelof alignment. We use this model to explore the implementation of an interdisciplinaryintervention in a recent trial, describing different participation incentives and barriers fordifferent staff groups. The extent to which clinical and managerial interests align may be animportant determinant of the ultimate success of quality improvement interventions.
AU  - Pannick,S
AU  - Sevdalis,N
AU  - Athanasiou,T
DO  - 10.1136/bmjqs-2015-004453
EP  - 725
PY  - 2015///
SN  - 2044-5423
SP  - 716
TI  - Beyond clinical engagement: a pragmatic model for quality improvement interventions, aligning clinical and managerial priorities
T2  - BMJ Quality & Safety
UR  - http://dx.doi.org/10.1136/bmjqs-2015-004453
UR  - http://hdl.handle.net/10044/1/27044
VL  - 25
ER  -
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