As new members of the team, GP trainees can provide a fresh perspective on practice systems. They are, therefore, ideally placed to enact change within practices. However, GP trainees may feel ill-equipped to suggest and deliver change to their practices. This article will explore the concept of change management using the plan–do–study–act cycle and consider how to initiate change by providing a structure to guide the process.
Get full access to this article
View all access options for this article.
References
1.
AuerbachA. D.LandefeldC. S.ShojaniaK. G. (2007) The tension between needing to improve care and knowing how to do it. New England Journal of Medicine357(6): 608–613. doi: 10.1056/NEJMsb070738.
Dixon-Woods, M., McNicol, S., & Martin, G. (2012). Ten challenges in improving quality in healthcare: Lessons from the Health Foundation’s programme evaluations and relevant literature. BMJ Quality & Safety, 21, 876–884. doi: 10.1136/bmjqs-2011-000760.
5.
DoranG. (1981) There's a S.M.A.R.T. way to write management's goals and objectives. Management Review70(11): 35–36.
6.
GillamS.SiriwardenaA. (2013) Frameworks for improvement: Clinical audit, the plan-do-study-act cycle and significant event audit. Quality in Primary Care21(2): 123–130.
Iles, V., & Sutherland, K. (2001). Managing change in the NHS: Organisational change: A review for health care managers, professionals and researchers. London: National Co-ordinating Centre for NHS Service Delivery & Organisation R & D.
10.
Leis, J., & Shojania, K. (2016). A primer on PDSA: Executing plan–do–study–act cycles in practice, not just in name. BMJ Quality & Safety. Epub ahead of print 16 December 2016. doi: 10.1136/bmjqs-2016-006245.
ReedJ.CardA. (2016) The problem with plan-do-study-act cycles. BMJ Quality & Safety25(3): 147–152. doi: 10.1136/bmjqs-2015-005076.
19.
Scottish Government. (2008). The Scottish Government Health Delivery Directorate: Improvement and Support Team: The Scottish Primary Care Collaborative. Retrieved from www.gov.scot/Publications/2008/01/14161901/3.
TaylorM.McNicholasC.NicolayC.DarziA.BellD.ReedJ. (2013) Systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Quality & Safety23(4): 290–298. doi: 10.1136/bmjqs-2013-001862.
22.
VarvasovszkyZ.BrughaR. (2000) A stakeholder analysis. Health Policy and Planning15(3): 338–345. doi: 10.1093/heapol/15.3.338.
23.
WalsheK.FreemanT. (2002) Effectiveness of quality improvement: Learning from evaluations. Quality & Safety in Health Care11(1): 85–87. doi: 10.1136/qhc.11.1.85.
