Systems and culture

Taking a whole system approach to understand how quality and safety arise from complex systems and organisational culture.

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Journal article
Why do systems for responding to concerns and complaints so often fail patients, families and healthcare staff? A qualitative study
04 November 2021
THIS report
How well is the NHS in England doing at improving openness about quality of care?
12 February 2021
Journal article
Why we should be careful about calling healthcare workers ‘heroes’
17 June 2020
Journal article
A qualitative study of design stakeholders’ views of developing and implementing a registry-based learning health system
14 April 2020
Journal article
Impacts of operational failures on primary care physicians’ work: A critical interpretive synthesis of the literature
09 March 2020
Journal article
Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English NHS
31 January 2020
Journal article
A modified Delphi study to identify the features of high quality measurement plans for healthcare improvement projects
20 January 2020
Journal article
Challenges in making standardisation work in healthcare: lessons from a qualitative interview study of a line-labelling policy in the UK
05 December 2019
Journal article
How to improve healthcare improvement: an essay by Mary Dixon-Woods
01 October 2019
Journal article
Combining soft systems methodology, ethnographic observation and discrete-event simulation: A case study in cancer care
24 June 2019
Journal article
Implementing an intervention to improve decision-making around referral and admission to intensive care: results of feasibility testing in three NHS Hospitals
17 May 2019
Journal article
Conflicting demands on a modern healthcare service: Can Rawlsian justice provide a guiding philosophy for the NHS and other socialised health services?
19 March 2019