From good intentions to sucessful implementation : the case of patient safety in Canada
By: THOMAS, Paul G
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ArticlePublisher: Toronto : IPAC, Winter / Hiver 2006Canadian Public Administration 49, 4, p. 415-440Abstract: Improvements to patient safety have become a major issue on Canada´s already crowed health care policy agenda. This paper applies implementation theory to the practical issues involved with with the adoption of patient safety reforms. It´s based on a review of the literature and official reports on patient safety and on the author´s experience as the chair of the Board of Directors of the Manitoba Institute for Patient Safety created in june 2004. The obstacles and possible solutions to advance the patient safety agenda are discussed. While implementation theory was found to provide a general guide, the author´s experience leads him to conclude the literature on governance and organizational change offers more practical advice
Improvements to patient safety have become a major issue on Canada´s already crowed health care policy agenda. This paper applies implementation theory to the practical issues involved with with the adoption of patient safety reforms. It´s based on a review of the literature and official reports on patient safety and on the author´s experience as the chair of the Board of Directors of the Manitoba Institute for Patient Safety created in june 2004. The obstacles and possible solutions to advance the patient safety agenda are discussed. While implementation theory was found to provide a general guide, the author´s experience leads him to conclude the literature on governance and organizational change offers more practical advice
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