Successful Implementation of New Technology Using an Interdepartmental Collaborative Approach

Where Do Models for Change Management, Improvement and Implementation Meet? A Systematic Review of the Applications of Change Management Models in Healthcare

“…Twelve institutional-level projects were identified. 30 , 37 , 38 , 40 , 41 , 46 , 48 , 52 , 56 , 58 , 68 , 69 The first was a hospital-wide multi-faceted intervention to reduce in-hospital transmission of antimicrobial resistance in Denmark, which recorded immediate and sustained change in antimicrobial consumption and the rate of Bacteria-producing extended spectrum β-lactamase (ESBL-KP) resulting from a project guided by Kotter from inception to completion. 30 The second hospital-wide project emerged from Singapore and aimed to enhance timely access to outpatient specialist care requested by the emergency department.…”

“…It was notable that unfreezing activities identified the development of new policies and procedures, with the overall project primarily focused on bringing in the new technology and the moving stage. 58 Data of the project impacts and success were not reported in detail. Across four medical-surgical units in two Kaiser Permanente hospitals in the US, a Nurse Knowledge Exchange (NKE) was developed to integrate change management methods into the implantation of practice change.…”

“…Understanding and embracing change is important. Tetef 58 2017 Multi method Surveys and feedback interviews Union hospital, southern California, USA The organization as a whole Lewin’s change model and Roger’s diffusion of innovation theory Implement a successful bronchial thermoplastic program, while maintain patient safety and ensuring staff competency The program was success at a union level by using Roger’s theory, the BT program was successful because planning and development of the program. Also, with leadership of change which includes acknowledging the feelings and social and emotional aspects of the staff Townsend 45 2016 Quantitative Retrospective Review Emergency Department, Southern New Jersey, United States of America 1000 patients per quarter over 2 years Kotter’s 8-step To reduce ED falls by implementing fall reduction plan and a specific risk fall assessment During the first quarter of the intervention there was an increase in falls without injury (potentially due to staff awareness) and a decrease in falls with injury.…”

“…[29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] Eight studies referenced their application of the Lewin 3-Stage Model of Change into a healthcare setting, [48][49][50][51][52][53][54][55] with three further studies that integrated the Lewin model with a concern-based change management approach, McKinsey 7S Model of Change, and Roger's Diffusion of Innovation Theory, respectively. [56][57][58] A further eight articles reported the use of six further models for managing and leading change: Influencer Change Model (1 study); 59 Prosci ADKAR (1 study); 60 Accelerated Implementation Methodology (AIM) (2 studies); 61,62 Advent Health Clinical Transformation Model (1 study); 63 Riches 4 stage model (1 study); 64 Youngs Nine Stage Framework (1 study), 65 and the CAP model (1 study). 66…”

“…52 Combining the Lewin Model with Roger's Diffusion of Innovation Theory, Tetef et al, implemented the new technology of a bronchial thermoplasty program. 58 Lewin's Model was used to couch all of the change activities. It was notable that unfreezing activities identified the development of new policies and procedures, with the overall project primarily focused on bringing in the new technology and the moving stage.…”