Accounting for healthcare outcomes: implications for ICU practice and performance

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dc.contributor.author Iedema, Roderick en_US
dc.contributor.author Sorensen, Ros en_US
dc.contributor.editor en_US
dc.date.accessioned 2011-02-07T06:24:28Z
dc.date.available 2011-02-07T06:24:28Z
dc.date.issued 2010 en_US
dc.identifier 2009000878 en_US
dc.identifier.citation Sorensen Roslyn and Iedema Roderick 2010, 'Accounting for healthcare outcomes: implications for ICU practice and performance', The Royal Society of Medicine Press, vol. 23, no. 3, pp. 97-102. en_US
dc.identifier.issn 0951-4848 en_US
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/13756
dc.description.abstract The aim of this study was to understand the environment of health care, and how clinicians and managers respond in terms of performance accountability. A qualitative method was used in a tertiary metropolitan teaching intensive care unit (ICU) in Sydney, Australia, including interviews with 15 clinical managers and focus groups with 29 nurses of differing experience. The study found that a managerial focus on abstract goals, such as budgets detracted from managing the core business of clinical work. Fractures were evident within clinical units, between clinical units and between clinical and managerial domains. These fractures reinforced the status quo where seemingly unconnected patient care activities were undertaken by loosely connected individual clinicians with personalized concepts of accountability. Managers must conceptualize health services as an interconnected entity within which self-directed teams negotiate and agree objectives, collect and review performance data and define collective practice. Organically developing regimens of care within and across specialist clinical units, such as in ICUs, directly impact upon health service performance and accountability. en_US
dc.language en_US
dc.publisher The Royal Society of Medicine Press en_US
dc.relation.isbasedon http://dx.doi.org/10.1258/hsmr.2009.009020 en_US
dc.title Accounting for healthcare outcomes: implications for ICU practice and performance en_US
dc.parent Health Services Management Research en_US
dc.journal.volume 23 en_US
dc.journal.number 3 en_US
dc.publocation London, UK en_US
dc.identifier.startpage 97 en_US
dc.identifier.endpage 102 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 200100 en_US
dc.personcode 040083 en_US
dc.personcode 100638 en_US
dc.percentage 100 en_US
dc.classification.name Communication and Media Studies en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords NA en_US
dc.staffid en_US
dc.staffid 100638 en_US


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