Culture and behaviour in the English National Health Service: Overview of lessons from a large multimethod study

BMJ Quality and Safety

Volumn 23, Issue 2, 2014, Pages 106-115

  Dixon Woods, Mary ^a   Baker, Richard ^a   Charles, Kathryn ^b   Dawson, Jeremy ^c   Jerzembek, Gabi ^d   Martin, Graham ^a   McCarthy, Imelda ^d   McKee, Lorna ^e   Minion, Joel ^a   Ozieranski, Piotr ^f   Willars, Janet ^a   Wilkie, Patricia ^g   West, Michael ^h  

^a UNIVERSITY OF LEICESTER   (United Kingdom)

^b IMPERIAL COLLEGE LONDON   (United Kingdom)

^c UNIVERSITY OF SHEFFIELD   (United Kingdom)

^d ASTON UNIVERSITY   (United Kingdom)

^e UNIVERSITY OF ABERDEEN   (United Kingdom)

^f University of Bath   (United Kingdom)

^g National Association for Patient Participation   (United Kingdom)

^h LANCASTER UNIVERSITY MANAGEMENT SCHOOL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ACHIEVEMENT; ARTICLE; CULTURAL ANTHROPOLOGY; ETHNOGRAPHIC RESEARCH; GOAL ATTAINMENT; HEALTH CARE QUALITY; HEALTH CARE SURVEY; HUMAN; INTERVIEW; MEDICAL INFORMATION SYSTEM; MULTIMETHOD STUDY; NATIONAL HEALTH SERVICE; PATIENT SAFETY; PATIENT SATISFACTION; PRIMARY MEDICAL CARE; PROTOCOL COMPLIANCE; TOTAL QUALITY MANAGEMENT; TRIANGULATION; UNITED KINGDOM; ORGANIZATION; ORGANIZATION AND MANAGEMENT; PUBLIC HEALTH; STANDARDS;

HUMANS; NATIONAL HEALTH PROGRAMS; ORGANIZATIONAL CULTURE; PATIENT SAFETY; QUALITY OF HEALTH CARE;

EID: 84892574631     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs-2013-001947     Document Type: Article

References (35)

1. Wachter RM. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff (Millwood) 2010;29:165-73
2. Wachter RM. Understanding patient safety. 2nd edn. New York, London: McGraw-Hill Medical, 2012
3. de Vries EN, Ramrattan MA, Smorenburg SM, et al. The incidence and nature of in-hospital adverse events: a systematic review. Qual Saf Health Care 2008;17:216-23
4. Benning A, Dixon-Woods M, Nwulu U, et al. Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase. BMJ 2011;342:d199
5. Benning A, Ghaleb M, Suokas A, et al. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. BMJ 2011;342:d195
6. QIPP/Right Care. NHS atlas of variation in healthcare. 2011. http://www.rightcare.nhs.uk
7. Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. BMJ Qual Saf 2012;21:737-45
8. Francis R. Independent inquiry into care provided by Mid Staffordshire NHS Foundation Trust January 2005-March 2009. London: Stationery Office, 2010
9. Francis R. Report of the Mid Staffordshire NHS Foundation Trust public inquiry. London: Stationery Office, 2013. http://cdn.midstaffspublicinquiry.com/ sites/default/files/report/Executive%20summary.pdf.
10. Woods DD, Dekker S, Cook R, et al. Behind human error. 2nd edn. Farnham, Surrey: Ashgate, 2010
11. Reason J. Managing the risks of organizational accidents. Farnham, Surrey: Ashgate, 1997
12. Mannion R, Davies H. Will prescriptions for cultural change improve the NHS? Br Med J 2013;346:f1305
13. Schein EH. Organizational culture and leadership. New York: Jossey-Bass, 2006
14. Walshe K, Shortell SM.When things go wrong: how health care organizations deal with major failures. Health Aff 2004;23:103-11
15. Francis R. Robert Francis inquiry report into Mid-Staffordshire NHS Foundation Trust. London: Department of Health, 2010. http://www.dh.gov.uk/en/ Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH-113018
16. Department of Health. Equity and excellence: liberating the NHS. London: Department of Health, 2010
17. O'Cathain A, Murphy E, Nicholl J. Three techniques for integrating data in mixed methods studies. BMJ 2010;341: c4587
18. Dixon-Woods M, Argawal S, Jones D, et al. Synthesising qualitative and quantitative evidence: a review of possible methods. J Health Serv Res Policy 2005;10:45-53
19. West MA, Baker R, Dawson J, et al. Quality and safety in the NHS: evaluating progress, problems and promise. 2013, Report to Department of Health Policy Research Programme. http://www.lums.lancs.ac.uk/nhs-quality
20. Power M. Auditing and the production of legitimacy. Account Organ Soc 2003;28:379-94
21. Wilson G. Implementation of releasing time to care-The productive ward. J Nurs Manag 2009;17:647-54
22. Boyne GA. Sources of public service improvement: a critical review and research agenda. J Public Adm Res Theory 2003;13:367-94
23. Walshe K. Regulating healthcare a prescription for improvement? Maidenhead: Open University Press, 2003
24. McKee L, Charles K, Dixon-Woods M, et al. "New" and distributed leadership in quality and safety in healthcare, or "old" and hierarchical? An interview study with strategic stakeholders. J Health Serv Res Policy 2013;in press. doi: 101177/1355819613484460
25. Baker GR, Denis JL, Pomey MP, et al. Effective governance for quality and patient safety in Canadian healthcare organizations. Ottawa and Edmonton: Canadian Health Services Research Foundation and the Canadian Patient Safety Institute, 2010
26. Jha A, Epstein A. Hospital governance and the quality of care. Health Aff 2010;29:182-7
27. Weiner BJ, Shortell SM, Alexander J. Promoting clinical involvement in hospital quality improvement efforts: the effects of top management, board, and physician leadership. Health Serv Res 1997;32:491
28. Moore C, Buchanan DA. Sweat the small stuff: a case study of small-scale change processes and consequences in acute care. Health Serv Manag Res 2013;26:9-17
29. Meyer GS, Nelson EC, Pryor DB, et al. More quality measures versus measuring what matters: a call for balance and parsimony. BMJ Qual Saf 2012;21:964-8
30. Dixon-Woods M, Leslie M, Bion J, et al. What counts? An ethnographic study of infection data reported to a patient safety program. Milbank Q 2012;90:548-91
31. Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q 2011;89:167-205
32. Charles K, McKee L, McCann S. A quest for patient-safe culture: contextual influences on patient safety performance. J Health Serv Res Policy 2011;16(Suppl 1):57-64
33. Dixon-WoodsM, Cavers D, Agarwal S, et al. Conducting a critical interpretive synthesis of the literature on access to healthcare by vulnerable groups. BMC Med Res Methodol 2006;6
34. Faden RR, Beauchamp TL, Kass NE. Learning health care systems and justice. Hastings Cent Rep 2011;41:3
35. WestMA, Dawson JF, Admasachew L, et al. NHS staff management and health service quality: results from the NHS staff survey and related data. London: Department of Health, 2011.