NICER Guidance: fostering an organisational culture of evidence-based decision making

"Our objectives were to ensure that the concept and practice of evidence-based decision making was widely understood and adopted in our commissioning and de-commissioning decisions, project start-up business cases and individual funding request evaluations."

NICER Guidance: fostering an organisational culture of evidence-based decision making
Organisation: Suffolk County Council
NICE Shared Learning example
March 2015

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Leadership and leadership development in health care: The evidence base

"The summary describes key messages from the review in relation to leadership at different levels of analysis: it includes a description of the leadership task and the most effective leadership behaviours at individual, team, board and national levels."

Leadership and leadership development in health care: The evidence base
M West, K Armit, L Loewenthal, R Eckert, T West, A Lee
The King's Fund
February 2015

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Six building blocks for harnessing the creativity and enthusiasm of NHS staff

"There is now an overwhelming body of evidence to show that engaged staff really do deliver better health care. The NHS providers with high levels of staff engagement (as measured in the annual NHS Staff Survey) tend to have lower levels of patient mortality, make better use of resources and deliver stronger financial performance"

Staff engagement: Six building blocks for harnessing the creativity and enthusiasm of NHS staff
The King's Fund
February 2015

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Organisational culture and post-merger integration in an academic health centre

"Our findings have important implications for the integration of health care
providers and the promotion of NHS/University partnerships that deserve further research. It
might examine staff engagement strategies and cultural interventions to manage cultural
diversity and expectations."

Organisational culture and post-merger integration in an academic health centre: a mixed-methods study
PV Ovseiko, K Melham, J Fowler, AM Buchan
BMC Health Services Research 2015, 15:25  doi:10.1186/s12913-014-0673-3

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Leadership vacancies in the NHS

"Board-level vacancies have a negative impact on an organisation. They affect staff morale and engagement, cause strategic instability and waste human and financial resources."

Leadership vacancies in the NHS: What can be done about them?
A Janjua
The King's Fund
December 2014

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Exploring CQC’s well-led domain: How can boards ensure a positive organisational culture?

"The paper has been written as a practical guide for board members in strengthening leadership and culture and in preparing for CQC inspections."

Exploring CQC’s well-led domain: How can boards ensure a positive organisational culture?
K Steward
The King's Fund
November 2014

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Do large-scale hospital and system-wide interventions improve patient outcomes

"Common findings show the difficulty of introducing large-scale interventions, and that effective leadership and clinical champions, adequate financial and educational resources, and dedicated promotional activities appear to be common factors in successful system-wide change."

Do large-scale hospital and system-wide interventions improve patient outcomes: a systematic review
R Clay-Williams, H Nosrati, FC Cunningham, K Hillman, J Braithwaite
BMC Health Services Research 2014, 14:369

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Best BMJ Quality & Safety articles 2013

"This special collection reflects the depth and breadth of content from BMJ Quality & Safety, which encourages innovation and creative thinking to improve the quality of health care and the science of improvement."

Articles included in the collection are:

• Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia
• The global burden of unsafe medical care: analytic modelling of observational studies
• Systematic review of the application of the plan–do–study–act method to improve quality in healthcare
• Assessing adverse events among home care clients in three Canadian provinces using chart review
• 'Care left undone’ during nursing shifts: associations with workload and perceived quality of care
• Allocating scarce resources in real-time to reduce heart failure admissions: a prospective, controlled study
• Culture and behaviour in the English National Health Service: overview of lessons from a large
  multimethod study

BMJ Quality & Safety: A collection of key articles
The Health foundation

April 2014

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Learning communities and the skills needed to improve care

"Part of the reason why quality improvement is so hard to achieve may be that those involved in leading QI programmes need to deploy three different but interrelated types of improvement skills: technical, soft and learning skills. A lack of skills in one area will constrain progress, irrespective of the team’s strengths in other skill areas."

Skilled for improvement? Learning communities and the skills needed to improve care: an evaluative service development
J Gabbay, A le May, C Connell, JH Klein
The Health Foundation
March 2014

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Patient neglect in healthcare institutions

"Patients and their family members are more likely to report neglect than healthcare staff, and nurses are more likely to report on the neglectful behaviours of other nurses than on their own behaviour."

Patient neglect in healthcare institutions: a systematic review and conceptual model
TW Reader, A Gillespie
BMC Health Services Research, 2013, 13:156

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Making it better? Assuring high-quality care in the NHS

"Evidence from high-quality healthcare organisations across the world demonstrates the importance of organisational culture in ensuring the delivery of high-quality, patient-centred care."

Making it better? Assuring high-quality care in the NHS
NHS Confederation
February 2013

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Creating a culture of sustainability

"Sustainability offers a way to connect employers with their employees and communities in a powerful way."

Creating a culture of sustainability: leadership, coordination and performance measurement decisions in healthcare
T Boone
University of Illinois at Chicago School of Public Health
April 2012

Read more here.