Murray Anderson-Wallace, Nick Downham

Improving Quality in Healthcare

• Gebundenes Buch

Produktbeschreibung

This book will provide a welcome critical analysis of Quality Improvement during a period of rapid growth in its usage. The author's insights and experience will help shape how people apply QI tools and encourage deeper thinking about the ideologies and practices that need to be understood before effective change can happen.

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Produktdetails

• Verlag: SAGE Publications Ltd
• Seitenzahl: 224
• Erscheinungstermin: 18. Dezember 2023
• Englisch
• Abmessung: 250mm x 175mm x 17mm
• Gewicht: 574g
• ISBN-13: 9781529733068
• ISBN-10: 1529733065
• Artikelnr.: 68459707

Autorenporträt

Murray has a clinical background in mental health services and psychological therapy and is trained in systemic approaches to counselling, consultation and supervision. He is a qualified groupwork practitioner, registered with the Institute of Group Analysis. Murray has an enduring interest in the social dynamics of organising and has spent much of his career tackling complex socio-cultural and ethical issues, including leading several large-scale independent reviews of care. Murray has provided strategic support to a wide range of national quality programmes and networks in the UK and abroad. He has taught at postgraduate level internationally and is a visiting professor at the Health Systems Innovation Lab at London South Bank University. Murray's practice also includes work as an independent editor, writer and broadcaster, producing media to stimulate debate about complex professional and ethical issues in healthcare. He is co-author of Networks in Healthcare: Managing Complex Relationships (Emerald) with Professor Becky Malby.

Inhaltsangabe

Chapter 1: Context
Chapter 2: The History of Quality in Healthcare
Chapter 3: Cultures of Quality
Chapter 4: Understanding Variation - Tensions and Dilemmas
Chapter 5: Demand, Capacity and Utilisation
Chapter 6: Understanding Failure Demand
Chapter 7: Principles to Avoid Failure Demand
Chapter 8: Defragmenting to Integrate
Chapter 9: Understanding the Specialist, Generalist and Citizen Muddle
Chapter 10: Supporting the Human System of Work
Chapter 11: Understanding Need
Chapter 12: Conclusion

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Chapter 1: Context
Chapter 2: The History of Quality in Healthcare
Chapter 3: Cultures of Quality
Chapter 4: Understanding Variation - Tensions and Dilemmas
Chapter 5: Demand, Capacity and Utilisation
Chapter 6: Understanding Failure Demand
Chapter 7: Principles to Avoid Failure Demand
Chapter 8: Defragmenting to Integrate
Chapter 9: Understanding the Specialist, Generalist and Citizen Muddle
Chapter 10: Supporting the Human System of Work
Chapter 11: Understanding Need
Chapter 12: Conclusion

Rezensionen

True to form Murray & Nick invite a critical re-examination of the dominant approaches used in a great deal of improvement work in healthcare. Based on their extensive experience of working in the field over the last 25 years, they argue that many of the current approaches fail to take proper account of organisational and patient context; invite reductionism and the atomisation of complex issues, and ultimately create only an illusion of progress. They promote the use of a framework to "questioning the work , and discuss four interconnected domains to help guide inquiry.

I was particularly drawn towards the chapters on Cultures of Quality and "Supporting the Human System at Work in which they discuss a wide range of issues that impact on safety. They cite a lot of the great work done by Prof Mary Dixon-Woods (often referred to in this newsletter) and the Harmed Patient Alliance work on "compounded harm . Although the book is unashamedly an academic text, it s also pretty accessible, and offers a thoughtful analysis of how to understand some complex issues with case study examples to illustrate their points.

James Titcome OBE email 20240119