An Improvement Engine for empowered change in healthcare

KristianSiverbo1, HenrikEriksson1, HelleWijk2
1Technology Management and Economics, Chalmers University of Technology, Göteborg, Sweden
2Sahlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Göteborg, Sweden

Tóm tắt

PurposeThe purpose of this article is to describe how an Improvement Engine methodology, based on self‐assessment and everyone's involvement, can be used in order to stimulate change and what experience and results it can generate.Design/methodology/approachThis article describes how an Improvement Engine was developed and used at Sahlgrenska University Hospital to stimulate change and what experience and results it generated. The principles behind the methodology were everyone's involvement, self‐assessment, incremental change and learning. The data were collected in interviews and analysed using a content analysis approach. The strengths, weaknesses, opportunities and threats were analysed and mapped to context, content, process and output.FindingsThe evaluation shows that the Improvement Engine methodology has advantages concerning involvement and dialogue but needs improvement in terms of information about the project.Practical implicationsExamples of how the Improvement Engine can be applied are discussed.Originality/valueThe intention is to shed light on what kind of issues managers must deal with when they try to stimulate change in a healthcare setting. The Improvement Engine methodology developed and used shows that the empowerment approach is a promising avenue for change in healthcare.

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