Turning the oil tanker: a novel approach to shifting perspectives in medical practice.

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ID: 45682
2019
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Ranked #8 of 31 articles by views in advances in medical education and practice

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Abstract
Although health care is encouraged to follow an evidence-based approach, there are perceived instances where suboptimal practice persists in the presence of better options due to an inherent resistance to change within many health care systems. To continue striving for clinical excellence, it is important to identify deficient practices and make appropriate corrections by implementing new and improved techniques and treatments. Bringing about change, however, tends to be a long, arduous process consisting of several small and successive deviations from the norm, analogous to "turning the oil tanker". Analyzing the methods employed by successful health care innovators has allowed the development of a "three-pronged" approach to overcoming resistance to change: 1) a determined opinion leader with a network or like-minded opinion leaders; 2) the presentation of hard evidence with adequate praise for current practice and the generation of clearly worded, specific guidelines; and 3) the use of simple reminders and continuous analysis of outcomes. Employing this three-pronged approach could lead to faster and more successful implementation of change within the health care system.
Reference Key
ranasinghe2019turningadvances Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Ranasinghe, Lasith;Dor, Frank Jmf;Herbert, Paul;
Journal advances in medical education and practice
Year 2019
DOI
10.2147/AMEP.S197570
URL
Keywords
evidence-based medicine health care innovation implementing change resistance to change

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