Related Experiment Videos
Evidence-based management in health care organizations: a cautionary note
Margarete Arndt1, Barbara Bigelow
1Clark University, Graduate School of Management, Worcester, Massachusetts, USA. marndt@clarku.edu
Health Care Management Review
|July 24, 2009
Summary
Evidence-based management (EBM) is promoted for healthcare, but its effectiveness and generalizability are not empirically proven. Managers should balance evidence with creativity and risk-taking due to complex organizational factors.
Area of Science:
- Healthcare Management
- Organizational Behavior
- Evidence-Based Practice
Background:
- Healthcare managers are encouraged to adopt evidence-based management (EBM) for decision-making.
- Advocacy for EBM rests on assumptions of predictable results, generalizability, and objective evidence.
Purpose of the Study:
- To critically examine the assumptions underlying evidence-based management.
- To explore EBM through contextual and conceptual perspectives.
Main Methods:
- A comprehensive review of existing literature on evidence-based management was performed.
Main Results:
- Current calls for EBM primarily use conceptual arguments, lacking empirical evidence of effectiveness.
- The complexity of healthcare environments and organizational differences challenge the assumptions of predictable and generalizable outcomes.
- Evidence is influenced by social interactions and the challenges of studying complex organizational phenomena.
Conclusions:
- Further research is required on the diffusion and impact of EBM in healthcare settings.
- Managers must integrate research evidence with other information, acknowledging the importance of creativity and risk-taking in uncertain environments.
Related Concept Videos
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:23Methods of Documentation V: CBE
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:22Healthcare Associated Infections II: Preventive Measures
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
01:11Purpose of Health Records I
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
01:30Guidelines for Nursing Documentation I
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.