How Come Nothing Changed? Reflections on the Fasting-Time Project
Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review
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How Come Nothing Changed? Reflections on the Fasting-Time Project. / Hertzum, Morten; Simonsen, Jesper.
MIE2020: Proceedings of 30th Medical Informatics Europe Conference. IOS Press, 2020. p. 971-975 (Studies in Health Technology and Informatics, Vol. 270).Research output: Chapter in Book/Report/Conference proceeding › Article in proceedings › Research › peer-review
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TY - GEN
T1 - How Come Nothing Changed? Reflections on the Fasting-Time Project
AU - Hertzum, Morten
AU - Simonsen, Jesper
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - Faculty of Humanities
KW - effects realization
KW - implementation
KW - change management
KW - fasting time
U2 - 10.3233/SHTI200306
DO - 10.3233/SHTI200306
M3 - Article in proceedings
C2 - 32570526
T3 - Studies in Health Technology and Informatics
SP - 971
EP - 975
BT - MIE2020: Proceedings of 30th Medical Informatics Europe Conference
PB - IOS Press
ER -
ID: 234161511