What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.

Jon Allard; Alan Bleakley

Study

What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.

March 23, 2016

Allard J, Bleakley A. Adv Health Sci Educ Theory Pract. 2016;21(4):803-17.

View more articles from the same authors.

This ethnographic study examined the effects of top-down targets and protocols on health care providers' practices in an emergency department and a mental health ward in the United Kingdom. Top-down policy directives seemed to disrupt work patterns and led to unintended consequences.

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What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.

Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies.

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