3. Effective implementation of change in healthcare: a systematic approach

  1. Richard Grol,
  2. Michel Wensing,
  3. Martin Eccles and
  4. David Davis
  1. Richard Grol and
  2. Michel Wensing

Published Online: 28 JUN 2013

DOI: 10.1002/9781118525975.ch3

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

Improving Patient Care: The Implementation of Change in Health Care, Second Edition

How to Cite

Grol, R. and Wensing, M. (2013) Effective implementation of change in healthcare: a systematic approach, in Improving Patient Care: The Implementation of Change in Health Care, Second Edition (eds R. Grol, M. Wensing, M. Eccles and D. Davis), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118525975.ch3

Author Information

  1. Department IQ healthcare, UMC St Radboud, Nijmegen, the Netherlands

Publication History

  1. Published Online: 28 JUN 2013
  2. Published Print: 20 MAY 2013

ISBN Information

Print ISBN: 9780470673386

Online ISBN: 9781118525975

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Keywords:

  • change;
  • healthcare;
  • practice routines;
  • systematic approach

Summary

The effective implementation of innovations, new procedures, clinical guidelines, and best practices requires a systematic approach with good preparation and planning. This chapter presents different theories and models that can be used for planning and managing change (“process theories”). The implementation of change model follows the actual practice of improving patient care as closely as possible. The chapter also provides steps which are important in a systematic approach to implementation of change including formulating a concrete, well-developed and attainable proposal for change in practice with clear targets, and assessing the actual performance and mapping the problems in using the new procedures. Planned action refers to the deliberate aiming at change. The chapter talks about identification of a problem in healthcare, identification and analysis of the knowledge or scientific findings relevant for solving the problem, and adaptation of the insights to the local setting.