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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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From embracing to managing risks.

Justin Keen1, Emma Nicklin2, Nyantara Wickramasekera3

  • 1Leeds Institute of Health Sciences, University of Leeds, Leeds, UK.

BMJ Open
|November 28, 2018
PubMed
Summary
This summary is machine-generated.

Hospitals improved data quality and use for management between 2013-2016. Real-time ward systems aided this shift towards data-driven, team-based risk management in healthcare.

Keywords:
clinical governanceinformation managementinformation technologyorganisation of health servicesrisk management

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Area of Science:

  • Healthcare Management
  • Health Informatics
  • Quality Improvement

Background:

  • Effective management of hospital services relies on robust quality and safety information.
  • Previous implementations of health information technology have faced challenges.
  • Understanding the evolution of data capture and utilization is crucial for healthcare improvement.

Purpose of the Study:

  • To evaluate changes in the collection, management, and application of quality and safety data within hospital services over time.
  • To assess the impact of information infrastructure developments on hospital management practices.

Main Methods:

  • Observational study involving 111.5 hours of board/directorate meetings and 72 hours of ward observations.
  • Conducted 86 interviews with hospital managers and staff at various levels.
  • Longitudinal assessment of data practices across four acute National Health Service hospitals in England.

Main Results:

  • Significant enhancements in the quantity and quality of data for management between 2013 and 2016 were observed.
  • All four hospitals implemented data warehouses to integrate disparate departmental data.
  • Three hospitals successfully deployed real-time ward management systems, widely adopted by nursing and other staff.

Conclusions:

  • Real-time ward management systems represent a positive development, countering negative perceptions of health IT implementations.
  • Hospital information infrastructures support a transition towards team-based, data-driven risk management, moving from reliance on individual judgment.
  • Despite advancements, hospitals were not yet leveraging granular data to establish ultra-safe working practices.