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Articles by Rick Iedema
The problem with … using stories as a source of evidence and learning
The problem with … using stories as a source of evidence and learning http://orcid.org/0000-0001-6792-1048Rick Iedema School of Life Sciences and Medicine, King's College London, London, UK Correspondence to Professor Rick Iedema, School of Life Sciences & Medicine, Kings College London, Guy’s Campus, London, SE11UL, UK; rick.iedema{at}kcl.ac.uk Statistics from Altmetric.com healthcare quality improvement health policy health professions education Since time immemorial, stories have played a...
The problem with … using stories as a source of evidence and learning
The problem with … using stories as a source of evidence and learning http://orcid.org/0000-0001-6792-1048Rick Iedema School of Life Sciences and Medicine, King's College London, London, UK Correspondence to Professor Rick Iedema, School of Life Sciences & Medicine, Kings College London, Guy’s Campus, London, SE11UL, UK; rick.iedema{at}kcl.ac.uk Statistics from Altmetric.com healthcare quality improvement health policy health professions education Since time immemorial, stories have played a...
The problem with … using stories as a source of evidence and learning
The problem with … using stories as a source of evidence and learning http://orcid.org/0000-0001-6792-1048Rick Iedema School of Life Sciences and Medicine, King's College London, London, UK Correspondence to Professor Rick Iedema, School of Life Sciences & Medicine, Kings College London, Guy’s Campus, London, SE11UL, UK; rick.iedema{at}kcl.ac.uk Statistics from Altmetric.com healthcare quality improvement health policy health professions education Since time immemorial, stories have played a...
The problem with … using stories as a source of evidence and learning http://orcid.org/0000-0001-6792-1048Rick Iedema School of Life Sciences and Medicine, King's College London, London, UK Correspondence to Professor Rick Iedema, School of Life Sciences & Medicine, Kings College London, Guy’s Campus, London, SE11UL, UK; rick.iedema{at}kcl.ac.uk Abstract This commentary is a response to the growing trend in health care to use stories as evidence for amending care practices and behaviours.
The problem with … using stories as a source of evidence and learning
The problem with … using stories as a source of evidence and learning http://orcid.org/0000-0001-6792-1048Rick Iedema School of Life Sciences and Medicine, King's College London, London, London, UK Correspondence to Professor Rick Iedema, School of Public Health & Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; rick.iedema{at}kcl.ac.uk Abstract This commentary is a response to the growing trend in health care to use stories as evidence for amending care practices and...
The problem with … using stories as a source of evidence and learning
Quality improvement report The problem with … using stories as a source of evidence and learning http://orcid.org/0000-0001-6792-1048Rick Iedema School of Life Sciences and Medicine, King's College London, London, London, UK Correspondence to Professor Rick Iedema, School of Public Health & Preventive Medicine, Monash University, Melbourne, VIC 3800, Australia; rick.iedema{at}kcl.ac.uk Abstract This commentary is a response to the growing trend in health care to use stories as evidence for...
Investigation of the critical factors required to improve the disclosure and discussion of harm with affected women and families: a study protocol for a qualitative, realist study in NHS maternity services (the DISCERN study)
Phase 2 Up to four NHS maternity services, identified as high performing or improving (in terms of supporting interventions for strengthening disclosure practices with women/families after harm in maternity care), will be selected as ethnographic case studies.
Using institutional entrepreneurship to understand the role of innovation teams in healthcare: a longitudinal qualitative study
Using institutional entrepreneurship to understand the role of innovation teams in healthcare: a longitudinal qualitative study http://orcid.org/0000-0003-3942-5543Angela Melder1, Ian Mcloughlin2, Tracy Robinson3, http://orcid.org/0000-0001-6792-1048Rick Iedema4, Helena J Teede1 1Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Faculty of Medicine Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia 2Monash Business...
An overview of healthcare improvement: unpacking the complexity for clinicians and managers in a learning health system
Abstract Given the pace of technological advancement and government mandates for healthcare and system transformation, there is an imperative for change. Health systems are highly complex in their design, networks and interacting components, and experience demonstrates that change is very challenging to enact, sustain and scale.
Legally protecting apologies shrinks the clinician-patient relationship
Rick Iedema professor-director, Jane Sandal professor of social science and women’s health, Mary Adams senior research fellow Iedema Rick, Sandal Jane, Adams Mary. Legally protecting apologies shrinks the clinician-patient relationship BMJ 2019; 366 :l5472
Research paradigm that tackles the complexity of in situ care: video reflexivity
Research paradigm that tackles the complexity of in situ care: video reflexivity Free Rick Iedema Centre For Team-Based Practice & Learning in Health Care, King's College London, London, United Kingdom Correspondence to Professor Rick Iedema, Centre For Team Based Practice & Learning In Health Care, King's College London, London, United Kingdom; rick.iedema{at}kcl.ac.uk Statistics from Altmetric.com video-reflexive ethnography complexity learning safety improvement This issue of BMJ Quality &...
Research paradigm that tackles the complexity of in situ care: video reflexivity
This issue of BMJ Quality & Safety presents a study conducted at the University of Michigan to evaluate ‘video reflexivity’ (VR, also referred to as VRE or ‘video-reflexive ethnography’) as a means for intervening in how physicians and nurses work together.1 The study found ‘increased reflection in both nurse and physician participants’, an outcome also reported (among other things) in related studies from the UK, Australia, New Zealand and the USA.2–6 ‘Increased reflection’ may not set the...
Beyond hand hygiene: a qualitative study of the everyday work of preventing cross-contamination on hospital wards
Background Hospital-acquired infections are the most common adverse event for inpatients worldwide. Efforts to prevent microbial cross-contamination currently focus on hand hygiene and use of personal protective equipment (PPE), with variable success. Better understanding is needed of infection prevention and control (IPC) in routine clinical practice.
Enacting open disclosure in the UK National Health Service: A qualitative exploration
Open and honest discussion between healthcare providers and patients and families affected by error is considered to be a central feature of high quality and safer patient care, evidenced by the implementation of open disclosure policies and guidance internationally. This paper discusses the perceived enablers that UK doctors and nurses report as facilitating the enactment of open disclosure.
Beyond hand hygiene: a qualitative study of the everyday work of preventing cross-contamination on hospital wards
Background Hospital-acquired infections are the most common adverse event for inpatients worldwide. Efforts to prevent microbial cross-contamination currently focus on hand hygiene and use of personal protective equipment (PPE), with variable success. Better understanding is needed of infection prevention and control (IPC) in routine clinical practice.
Creating safety by strengthening clinicians' capacity for reflexivity
This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/ and http://creativecommons.org/licenses/by-nc/2.0/legalcode This commentary explores the nature of creating safety in the here-and-now.
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