Ceiling of care decisions at an older person's mental health unit

"The issue was that decisions around ceilings of care for patients were often not discussed or at least recorded in the electronic notes and as a result when reviewing deteriorating patients out of hours trainees would find themselves without any guidance on the treating medics opinion on what was in the best interests of the patient."

Ceiling of care decisions at an older person's mental health unit in Gloucestershire
P Slack, A Rose
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u207618.w3050

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Organizational impact of evidence-informed decision making training initiatives

"factors before, during and after training can influence the extent of skills and knowledge transfer. Our evaluation went further than previous research by revealing the influence—both positive and negative—of specific organizational factors on extending the impact of training programs."

Organizational impact of evidence-informed decision making training initiatives: a case study comparison of two approaches
F Champagne, L Lemieux-Charles, MF Duranceau, G MacKean, T Reay
Implementation Science 2014, 9:53

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Health service redesign: from structure to function

"The findings suggest that large scale redesign projects are difficult to sustain because of changing circumstances, staff turnover, and the challenge of maintaining momentum. A more realistic approach centres on building teams, with local leadership, focussed on clinical/patient concerns and engagement with services provided outside hospital."

Theme 1: Health service redesign: from structure to function: the impact of change
A Hewison
Collaborations for Leadership in Applied Health Research and Care: Birmingham and Black Country
University of Birmingham, National Institute for Health Research
2014

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Leading networks in healthcare

"In response to the apparent increase in the number of networks operating in healthcare in the UK, and having reflected on its own work with networks, the Foundation undertook some scoping work to assess the situation. The aim was to test new techniques for supporting networks that encourage quality improvement."

Leading networks in healthcare
The Health Foundation
January 2013

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