Enterprise improvements in emergency care systems

Turner, Paul and Kane, Ros and Jackson, Christine (2016) Enterprise improvements in emergency care systems. In: International Scientific Conference: Research and Education in Nursing, 16 June 2016, Mirabor.

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Abstract

Introduction
English health policy is written with an aim to recreate
in health care services the quality and efficiency
improvements successfully used by enterprise
organisations.
The aim of this paper is to examine whether policy has
resulted in a framework that will achieve such
improvements in the Emergency Department of a rural
English hospital.
Methods
A mixed method approach is applied through a single
site case study.
Results
The research uncovered a lack of defined processes and
competent actors, rigid departmental barriers and
reactionary decisions leading to poor performance
against a policy target designed for Emergency
Departments. Also, in an improvement intervention to
meet local needs, pressure from the policy target and
the competence of people enacting the process failed to
support its continued efficacy.
Discussion and conclusion
Policy has not provided a framework for improvement
that replicates enterprise success. Capacity and demand
planning should be considered within the emergency
care system and lead to robust processes run by
competent people.

Keywords:Emergency care, Quality Improvement, Health Policy, Systems, Enterprise culture
Subjects:B Subjects allied to Medicine > B990 Subjects Allied to Medicine not elsewhere classified
Divisions:College of Social Science > School of Health & Social Care
ID Code:23331
Deposited On:09 Jul 2016 16:16

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