Improvement leaders: what do they and should they do? A summary of a review of research

Abstract

The full review lists other practical implications for leaders where there is good evidence, and notes other literature which could provide guidance for leaders in the absence of research. It also considers the limitations of the research, and specific subjects for future research where knowledge and practical guidance for leaders are especially needed.

The clinical governance development index: results from a New Zealand study

“…The role of management, for its part, in clinical governance implementation is to some degree contingent on individuals in leadership positions and their leadership styles, but leadership is a similarly important component in organisational and quality improvement. What is clear is that leaders need support, of governing boards, as well as resources 21. Research also suggests that hospitals with clinical leaders have better clinical governance processes in place and superior health outcomes 14.…”

Diriger la sécurité des patients dans un cadre LEADS: Comment les leaders inspirent-ils l'excellence en matière de sécurité des patients?

“…Les gestionnaires peuvent dé montrer leur leadership en matiè re de sé curité des patients en formant des é quipes de haute fiabilité à l'é chelle microsysté mique et en influant sur la culture de l'organisation grâce à leur mode de communication et à leurs comportements. Pour améliorer la sécurité des patients, les gestionnaires doivent avoir accès aux données pour étayer les améliorations et posséder les habiletés nécessaires pour les utiliser, ainsi que pour étayer des compétences en méthodologie de l'amélioration, en direction des médecins, en politiques de réglementation et en ressources humaines en vue de remplacer le temps perdu en soins cliniques 13 . Il est essentiel de compter sur le soutien de la haute direction pour créer et appuyer un contexte favorable à diriger des changements en matière de sécurité des patients. )…”

Increasing the number of patients receiving information about transition to end-of-life care: the effect of a half-day physician and nurse training

“…To further increase the proportion of patients in palliative care receiving ITEOL, education is probably not the only component needed. Research from other areas in quality improvement in healthcare suggests that to achieve and sustain improvements, general supportive organisational changes are needed 21. According to the literature, leadership is an important factor for quality improvement in healthcare, but the evidence is limited 21…”