Gillespie of Blackhall, Robert.pdf (3.59 MB)
How can NHS hospitals manage processes to reduce risk and to improve learning?
thesis
posted on 2023-06-10, 05:32 authored by Robert Gillespie of BlackhallThis thesis presents a process-improvement analysis of organisational learning and of risk-prevention, which brings NHS staff to respect, apply, and update standard procedures. The research methodology employs grounded coding of Care-Quality Commission assessments of NHS-hospital risk and learning to show that procedures are not always repected, that workarounds result from this, and that, without consistent feedback and corrective action on process incidents, hospitals which the CQC assesses as inadequate, will probably remain so. The research adopts cybernetic principles to model this behaviour finding that respecting updated Standard Operating Procedures in compliance with TPS principles is a key countermeasure to risk conditions in controlling hospital processes. Furthermore, continuously updating procedure is found to be a path to organisational learning because, as staff act to stop process-output error, they prevent risk and learn.
History
File Version
- Published version
Pages
283.0Department affiliated with
- Business and Management Theses
Qualification level
- doctoral
Qualification name
- phd
Language
- eng
Institution
University of SussexFull text available
- Yes
Legacy Posted Date
2022-12-08Usage metrics
Categories
No categories selectedKeywords
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC