Table Of ContentORGANIZATIONAL BEHAVIOUR
IN HEALTH CARE
MANAGING
IMPROVEMENT
IN HEALTHCARE
Attaining, Sustaining and
Spreading Quality
Edited by
AOIFE M. MCDERMOTT
MARTIN KITCHENER
MARK EXWORTHY
Organizational Behaviour in Health Care
Series editors
Jean-Louis Denis
Ecole Nationale d’Administration
Université de Montréal
Montreal, QC, Canada
Justin Waring
Centre for Health Innovation Leadership and Learning
Nottingham University Business School
Nottingham, UK
Paula Hyde
Manchester Business School
University of Manchester
Manchester, UK
Published in co-operation with the Society for Studies in Organising
Healthcare (SHOC), this series has two strands, the first of which con-
sists of specially selected papers taken from the biennial conferences
held by SHOC that present a cohesive and focused insight into issues
within the field of organisational behaviour in healthcare.
The series also encourages proposals for monographs and edited col-
lections to address the additional and emergent topics in the field of
health policy, organization and management. Books within the series
aim to advance scholarship on the application of social science theories,
methods and concepts to the study of organizing and managing health-
care services and systems.
Providing a new platform for advanced and engaged scholarship,
books in the series will advance the academic community by fostering
a deep analysis on the challenges for healthcare organizations and man-
agement with an explicitly international and comparative focus.
More information about this series at
http://www.springer.com/series/14724
Aoife M. McDermott · Martin Kitchener
Mark Exworthy
Editors
Managing
Improvement
in Healthcare
Attaining, Sustaining and Spreading
Quality
Editors
Aoife M. McDermott Mark Exworthy
Cardiff Business School Health Services Management Centre
Cardiff University University of Birmingham
Cardiff, UK Birmingham, UK
Martin Kitchener
Cardiff Business School
Cardiff University
Cardiff, UK
Organizational Behaviour in Health Care
ISBN 978-3-319-62234-7 ISBN 978-3-319-62235-4 (eBook)
https://doi.org/10.1007/978-3-319-62235-4
Library of Congress Control Number: 2017948302
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For Malcolm, for your support in everything
Aoife
Gyda chariad mawr i Jan, Madoc a Gethin. Diolch am yr ysbrydoliaeth
Martin
For Sarah, Dominic and Finnian
Mark
Foreword
This book brings together a strong collection of chapters grouped
around Managing Improvements in Healthcare. It addresses questions
about how to attain, embed and sustain improvements in healthcare
organisation and delivery. Each chapter reflects the challenges of and
opportunities for achieving improvement across various international
health systems. This book is presented in three parts; the first covers
aims and approaches in quality improvement and examines different
perspectives on quality through systematic studies in various interna-
tional health contexts. The second concerns how to spread and embed
quality improvements, including via an examination of various strate-
gies for knowledge mobilisation. The third part concerns the various
agents, co-producers and recipients of quality care. Where this work
challenges existing perspectives for both academic and practitioner
communities, it offers an up-to-date analysis of academic work and
practitioner developments.
Various ideas about quality improvement are studied in a way that
connects academic and practitioner communities and provide insights
that have the capacity to transform theory into policy and practice.
These works demonstrate the impact that academic work in the field
can have, through analyses and evaluations taken from academic studies
vii
viii Foreword
around the world. This marks a turn in the book series towards issues of
process, in particular, towards what has been termed the implementa-
tion gap.
This tenth book in the Organizational Behaviour in Health Care
series brings together papers from the 10th Organisational Behaviour
in Health Care (OBHC) conference held at Cardiff Business School,
Cardiff University, Wales, in April 2016. The title of the conference was
‘Attaining, sustaining and spreading improvement’, and the conference
was hosted by Cardiff Health Organisation and Policy Studies group
(CHOPS). The conference was a great success with over 120 delegates
from 18 countries across Europe, North America and Australia. We
would like to thank Dr. Aoife McDermott and Prof. Martin Kitchener,
the members of the scientific committee, and all at Cardiff Business
School.
The conference series is organised by the Society for Studies in
Organising Healthcare (SHOC), which is a learned society and a mem-
ber of the UK Academy of Social Sciences. The purpose of SHOC is to
‘[a]dvance the education of the public in the study of the organisation
of health care including the promotion of research and the dissemina-
tion of the useful results thereof’. SHOC sets up a scientific committee
to plan and oversee each OBHC conference, including local academic
partners. We are now looking forward to the 11th OBHC conference to
be held in Montreal in April 2018, entitled ‘Co-ordinating care across
boundaries and borders: Systems, networks and collaborations’.
Paula Hyde
OBHC Series Editor
Contents
Part I Quality Improvement: Aims, Approaches and Context
1 Evolving Dimensions of Quality Care: Comparing
Physician and Managerial Perspectives 3
Rebecca Amati, Robert H. Brook, Amer A. Kaissi and
Annegret F. Hannawa
2 Multi-level Pluralism: A Pragmatic Approach
to Choosing Change and Improvement Methods 25
Liz Wiggins and Brian Marshall
3 Amendments to Reporting of QI Interventions: Insights
from the Concept of Affordances 43
Emilie Berard, Jean-Louis Denis, Olivier Saulpic and
Philippe Zarlowski
4 Emerging Hybridity: A Comparative Analysis of
Regulatory Arrangements in the Four Countries
of the UK 59
Joy Furnival, Ruth Boaden and Kieran Walshe
ix
x Contents
5 Contextual Factors Affecting the Implementation
of Team-Based Primary Care: A Scoping Review 77
Dori A. Cross
6 Doing More with Less: Lean Healthcare Implementation
in Irish Hospitals 99
Mary A. Keating and Brendan S. Heck
Part II Embedding and Spreading Quality
7 Unlearning and Patient Safety 117
John G. Richmond
8 Checklist as Hub: How Medical Checklists Connect
Professional Routines 135
Marlot Kuiper
9 Sustaining Healthcare Service Improvements Without
Collective Dialogue and Participation: A Route to Partial
Failure? 155
Anne McBride and Miguel Martínez-Lucio
10 Disseminating from the Centre to the Frontline: The
Diffusion and Local Ownership of a National Health
Policy Through the Use of Icons 169
David Greenfield, Margaret Banks, Anne Hogden and Jeffrey
Braithwaite
11 Processes and Responsibilities for Knowledge Transfer
and Mobilisation in Health Services Organisations in
Wales 183
Emma Barnes, Alison Bullock and Wendy Warren
