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Leading improvement.

John Ovretveit1

  • 1The Karolinska Institute Medical Management Centre, Stockholm, Sweden.

Journal of Health Organization and Management
|December 27, 2005
PubMed
Summary
This summary is machine-generated.

Research shows limited evidence for leadership's role in quality and safety improvement. A new checklist offers practical, research-informed guidance for leaders to enhance healthcare quality and safety.

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Area of Science:

  • Healthcare Management
  • Organizational Behavior
  • Quality Improvement Science

Background:

  • Leadership commitment is widely emphasized for successful quality and safety improvement initiatives.
  • However, robust empirical evidence supporting this assertion is often scarce and scientifically limited.

Purpose of the Study:

  • To provide research-informed guidance for leaders involved in quality and safety improvement.
  • To develop evidence-based educational materials for leadership training programs.

Main Methods:

  • A comprehensive search of databases and hard copy literature from 1985 onwards was conducted.
  • Literature was classified based on the strength of empirical evidence (eA, eB) or conceptual discussion (eC).
  • Evidence was synthesized to create a guidance checklist for leaders.

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Main Results:

  • While leadership is deemed crucial, supporting research evidence is limited.
  • Research highlights the scope and limitations of leader actions, the importance of clinician engagement, and the roles of non-senior leaders.
  • The nuanced application of quality and safety improvement (Q&SI) by leaders requires further investigation.

Conclusions:

  • Further research is essential to understand how leadership roles vary across organizational development stages, types, contexts, and improvement methods.
  • A "best evidence guidance" checklist is provided for tangible, research-informed leader actions.
  • This synthesis offers a foundation for future research and educational programs, providing specific, evidence-based guidance for leaders.