How Come Nothing Changed? Reflections on the Fasting-Time Project

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Many healthcare interventions fail to produce the intended effect. In this paper we look back at the fasting-time project, which aimed to shorten patients’ preoperative fasting times. However, the project failed to achieve this effect, even though it had been identified and prioritized by the clinicians at the studied hospital. A set of mutually reinforcing factors collectively explain why the project failed to produce change. The four main factors are: lack of urgency, risk aversion, day-to-day busyness, and lack of managerial commitment at the department level. The simultaneous presence of these factors complicates efforts to counter them.
Original languageEnglish
Title of host publicationMIE2020: Proceedings of 30th Medical Informatics Europe Conference
PublisherIOS Press
Publication date2020
Publication statusPublished - 2020
SeriesStudies in Health Technology and Informatics

    Research areas

  • Faculty of Humanities - effects realization, implementation, change management, fasting time

ID: 234161511