How Come Nothing Changed? Reflections on the Fasting-Time Project
Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review
Many healthcare interventions fail to produce the intended effect. In this paper we look back at the fasting-time project, which aimed to shorten patients’ preoperative fasting times. However, the project failed to achieve this effect, even though it had been identified and prioritized by the clinicians at the studied hospital. A set of mutually reinforcing factors collectively explain why the project failed to produce change. The four main factors are: lack of urgency, risk aversion, day-to-day busyness, and lack of managerial commitment at the department level. The simultaneous presence of these factors complicates efforts to counter them.
|Title of host publication||MIE2020: Proceedings of 30th Medical Informatics Europe Conference|
|Publication status||Accepted/In press - 2020|
- Faculty of Humanities - effects realization, implementation, change management, fasting time