Barriers to improvement in the NHS

"Every day, teams within the NHS strive to make things better, but individual, organisational and system-wide barriers get in the way. This evidence scan compiles published research about the key barriers to improvement in the NHS."

What's getting in the way?: Barriers to improvement in the NHS
D de Silva
The Health Foundation
February 2015

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Acute hospitals and integrated care: From hospitals to health systems

"This report explores the role that acute hospitals can play in integrated care, drawing on learning from five case study sites in England where acute hospital providers have engaged actively with the integration agenda."

Acute hospitals and integrated care: From hospitals to health systems
C Naylor, H Alderwick, M Honeyman
The King's Fund
March 2015

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Implementing electronic health records in hospitals: a systematic literature review

"Although EHR systems are anticipated as having positive effects on the performance of hospitals, their implementation is a complex undertaking. This systematic review reveals reasons for this complexity and presents a framework of 19 interventions that can help overcome typical problems in EHR implementation."

Implementing electronic health records in hospitals: a systematic literature review
A Boonstra1, A Versluis, JFJ Vos
BMC Health Services Research 2014, 14:370

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Commissioning for outcomes: a narrative from and for clinical commissioners

"The purpose of this document from the Quality and Outcomes Working Group (QWG) is to stimulate discussion amongst CCG members on the practical tools we now require to be developed for all 211 CCGs, as well the barriers that need to be removed, to support our commissioning for outcomes"

Commissioning for outcomes: a narrative from and for clinical commissioners
NHS Commissioning Assembly
June 2014

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Health and healthcare: assessing the real world data policy landscape in Europe

"Real World Data is any data not collected in conventional randomised controlled trials. It includes data from existing secondary sources (eg databases of national health services) and the collection of new data, both retrospectively and prospectively." 

Health and healthcare: assessing the real world data policy landscape in Europe
C Miani, E Robin, V Horvath, C Manville, J Cave, J Chataway
RAND Corporation
April 2014

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The role of context in successful quality improvement

"This report contains four essays from leading academics aiming to explore the role of context in improving the quality of patient care."

Perspectives on context: A selection of essays considering the role of context in successful quality improvement
The Health Foundation
March 2014

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Overcoming challenges to improving quality

"Within three main themes, The Health Foundation has identified 10 challenges to improvement that consistently emerge, and have suggested ways to overcome them."

Overcoming challenges to improving quality: Lessons from the Health Foundation's improvement programme evaluations and relevant literature
The Health Foundation
April 2012

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