Improving health care quality: the implementation of whistleblowing

Ciasullo, Maria Vincenza; Cosimato, Silvia; Palumbo, Rocco

doi:10.1108/tqm-06-2016-0051

Cited by 24 publications

(27 citation statements)

References 62 publications

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“…This strategic conduct might contribute to the improvement of the physical and psychological conditions not only of the patients directly involved in the service process, but also of the social context, not forgetting to foster public awareness about how healthcare advancement benefits social wellness [99,100]. Even if a service ecosystem approach to innovation offers interesting insights for marketing and management to rethink, redesign, rebuild and maintain the practices at the core of value co-creation, much research is still needed to improve the potential of innovation on the reconfiguration of different service ecosystems.…”

Section: Implications and Further Researchmentioning

confidence: 99%

Service Innovations in the Healthcare Service Ecosystem: A Case Study

Ciasullo

Cosimato

Pellicano

2017

Systems

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Abstract:In the service economy, scholars and practitioners are even more focused on the development and appliance of innovative services. The importance of service innovation is rising in many sectors and among different organizations. Several disciplines (e.g., marketing, management, operations research, etc.) deal with this innovation, a concept widely used, but with different definitions. In this paper, service innovation has been analyzed according to the Service Dominant Logic (S-D Logic) and a service ecosystem perspective. The literature still calls for a greater understanding of how a new or renewed combination of resources affects the shaping of service ecosystems. To contribute to filling this gap, this study explores the practices that different actors, enact to co-create value in novel ways; i.e., service innovation. The paper is structured as follows. In the first section, the main academic contributions on service research have been reviewed, focusing on healthcare service innovation. This is followed by the research method and discussion of the research findings. Finally, the theoretical and managerial implications have been detailed and an agenda for future research suggested. The paper offers interesting insights to develop new or renewed practices that foster the reshaping and maintaining of a healthcare service ecosystem. Some recommendations are included to support managers in the development of service innovation strategies.

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Section: Implications and Further Researchmentioning

confidence: 99%

Service Innovations in the Healthcare Service Ecosystem: A Case Study

Ciasullo

Cosimato

Pellicano

2017

Systems

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“…Out of these, 11 studies included in the final review of this study originated from five countries: the USA (n = 3), the UK (n = 2), Australia (n = 2), Italy (n = 1), the Netherlands (n = 1), Finland (n = 1) and Wales (n = 1) respectively. Five of the included studies were qualitative in design (Ciasullo et al, 2017;Jackson et al, 2010aJackson et al, , 2010bAttree, 2007;Peters et al, 2011;Jones and Kelly, 2014) The included studies presented clear statements of their aims and most studies identified their research designs and were suitable to address the aims of the research. The aims were all aligned to the findings.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

“…Although what one nurse may perceive as intended wrongdoing another nurse may perceive as poor judgement or carelessness on the part of the wrongdoer. Ciasullo et al (2017) revealed that the apparent lack of managers and colleagues' support was also a significant stimulus that encouraged health-care professionals and administrative employees to remain silent. This raises the question as to why it seems to be less supported to raise concerns openly in a field of health care that should be promoting honesty and openness.…”

Section: Hesitancementioning

confidence: 99%

Perceived barriers to whistle blowing in healthcare amongst healthcare professionals: An integrative review

Ekpenyong

Mathew

Ibrahim

et al. 2020

IJHRH

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Purpose Whistleblowing is a procedure where an existing or past participant of an establishment reveals actions and practices believed to be illegal, immoral or corrupt, by individuals who can influence change. Whistleblowing is an important means of recognising quality and safety matters in the health-care system. The aim of this study is to undergo a literature review exploring perceived barriers of whistleblowing in health care among health-care professionals of all grades and the possible influences on the whistleblower. Design/methodology/approach An integrative review of both quantitative and qualitative studies published between 2000 and 2020 was undertaken using the following databases: CINAHL Plus, Embase, Google Scholar, Medline and Scopus. The primary search terms were “whistleblowing” and “barriers to whistleblowing”. The quality of the included studies was appraised using the Critical Appraisal Skills Programme criteria. The authors followed preferred reporting items for systematic review and meta-analysis (Prisma) in designing the research and also reporting. Findings A total of 11 peer-reviewed articles were included. Included papers were analysed using constant comparative analysis. The review identified three broad themes (cultural, organisational and individual) factors as having a significant influence on whistleblowing reporting among health-care professionals. Originality/value This study points out that fear is predominantly an existing barrier causing individuals to hesitate to report wrongdoing in care and further highlights the significance of increasing an ethos of trust and honesty within health care.

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“…It can be referred to as extension of the employee involvement element in TQM implementation. Further, the work was extended by enhancing the interpretation of whistleblowing and its capacity to influence overall organizational quality [12] . The work highlighted the implementation of whistleblowing procedures by Italian National Health Services(INHS).…”

Section: Employee Involvement and Total Quality Managementmentioning

confidence: 99%

Total Quality Management Implementation in Healthcare Sector, Its Impact on Performance of Hospitals

Puri*,

Babu,

Sharma

2019

IJRTE

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The focus of this article is to have a discussion on TQM implementation in the hospital sector and to find out the relationship between TQM practices and organization performance of hospitals. This research is based on literature review of Quality Management and various critical success factors namely leadership, communication, employee involvement, customer focus, organization culture, strategic planning and patient loyalty. This article has made an attempt to establish a positive relation between a second order construct of Total Quality Management and their influence on the organizational performance of hospitals in Punjab. The paper has been framed with a conviction that it may prove to be beneficial for academicians and managers to excavate a relationship between Total Quality Management practices and hospital performance. Although it is a commonly accepted belief that National Accreditation Board of Hospitals i.e. NABH accredited hospitals are quality oriented, still non-NABH hospitals can enhance their organization performance focusing on the critical factors and improving their quality. In this article structural equation modelling has been used to bring out a relation between quality practices and performance. In an original way this paper proposes the critical success factors affecting TQM and how the hospitals can improve their quality and ultimately organization performance including subjective and objective performance, by focusing on these measures. The article encourages reflections from managers and practitioners concerning Quality Management in hospital/healthcare sector. We request that medical practitioners follow the procedures for improvement in critical success factors affecting TQM and ultimately, enhancement in their quality management practices in order to achieve better organization performance.

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Improving health care quality: the implementation of whistleblowing

Cited by 24 publications

References 62 publications

Service Innovations in the Healthcare Service Ecosystem: A Case Study

Service Innovations in the Healthcare Service Ecosystem: A Case Study

Perceived barriers to whistle blowing in healthcare amongst healthcare professionals: An integrative review

Total Quality Management Implementation in Healthcare Sector, Its Impact on Performance of Hospitals

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