How Come Nothing Changed? Reflections on the Fasting-Time Project

Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › fagfællebedømt

Standard

How Come Nothing Changed? Reflections on the Fasting-Time Project. / Hertzum, Morten; Simonsen, Jesper.

MIE2020: Proceedings of 30th Medical Informatics Europe Conference. IOS Press, 2020. s. 971-975 (Studies in Health Technology and Informatics, Bind 270).

Publikation: Bidrag til bog/antologi/rapport › Konferencebidrag i proceedings › Forskning › fagfællebedømt

Harvard

Hertzum, M & Simonsen, J 2020, How Come Nothing Changed? Reflections on the Fasting-Time Project. i MIE2020: Proceedings of 30th Medical Informatics Europe Conference. IOS Press, Studies in Health Technology and Informatics, bind 270, s. 971-975. https://doi.org/10.3233/SHTI200306

APA

Hertzum, M., & Simonsen, J. (2020). How Come Nothing Changed? Reflections on the Fasting-Time Project. I MIE2020: Proceedings of 30th Medical Informatics Europe Conference (s. 971-975). IOS Press. Studies in Health Technology and Informatics Bind 270 https://doi.org/10.3233/SHTI200306

Vancouver

Hertzum M, Simonsen J. How Come Nothing Changed? Reflections on the Fasting-Time Project. I MIE2020: Proceedings of 30th Medical Informatics Europe Conference. IOS Press. 2020. s. 971-975. (Studies in Health Technology and Informatics, Bind 270). https://doi.org/10.3233/SHTI200306

Author

Hertzum, Morten ; Simonsen, Jesper. / How Come Nothing Changed? Reflections on the Fasting-Time Project. MIE2020: Proceedings of 30th Medical Informatics Europe Conference. IOS Press, 2020. s. 971-975 (Studies in Health Technology and Informatics, Bind 270).

Bibtex

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title = "How Come Nothing Changed? Reflections on the Fasting-Time Project",
abstract = "Many healthcare interventions fail to produce the intended effect. In this paper we look back at the fasting-time project, which aimed to shorten patients{\textquoteright} preoperative fasting times. However, the project failed to achieve this effect, even though it had been identified and prioritized by the clinicians at the studied hospital. A set of mutually reinforcing factors collectively explain why the project failed to produce change. The four main factors are: lack of urgency, risk aversion, day-to-day busyness, and lack of managerial commitment at the department level. The simultaneous presence of these factors complicates efforts to counter them.",
keywords = "Faculty of Humanities, effects realization, implementation, change management, fasting time",
author = "Morten Hertzum and Jesper Simonsen",
year = "2020",
doi = "10.3233/SHTI200306",
language = "English",
series = "Studies in Health Technology and Informatics",
publisher = "IOS Press",
pages = "971--975",
booktitle = "MIE2020: Proceedings of 30th Medical Informatics Europe Conference",
address = "United States",

}

RIS

TY - GEN

T1 - How Come Nothing Changed? Reflections on the Fasting-Time Project

AU - Hertzum, Morten

AU - Simonsen, Jesper

PY - 2020

Y1 - 2020

N2 - Many healthcare interventions fail to produce the intended effect. In this paper we look back at the fasting-time project, which aimed to shorten patients’ preoperative fasting times. However, the project failed to achieve this effect, even though it had been identified and prioritized by the clinicians at the studied hospital. A set of mutually reinforcing factors collectively explain why the project failed to produce change. The four main factors are: lack of urgency, risk aversion, day-to-day busyness, and lack of managerial commitment at the department level. The simultaneous presence of these factors complicates efforts to counter them.

AB - Many healthcare interventions fail to produce the intended effect. In this paper we look back at the fasting-time project, which aimed to shorten patients’ preoperative fasting times. However, the project failed to achieve this effect, even though it had been identified and prioritized by the clinicians at the studied hospital. A set of mutually reinforcing factors collectively explain why the project failed to produce change. The four main factors are: lack of urgency, risk aversion, day-to-day busyness, and lack of managerial commitment at the department level. The simultaneous presence of these factors complicates efforts to counter them.

KW - Faculty of Humanities

KW - effects realization

KW - implementation

KW - change management

KW - fasting time

U2 - 10.3233/SHTI200306

DO - 10.3233/SHTI200306

M3 - Article in proceedings

C2 - 32570526

T3 - Studies in Health Technology and Informatics

SP - 971

EP - 975

BT - MIE2020: Proceedings of 30th Medical Informatics Europe Conference

PB - IOS Press

ER -

ID: 234161511