Implementation care chain (acute abdominal complaints)
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Routines
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Routines
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- Work routines differ between organizations involved in the care chain
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- Feedback is not provided formally yet
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- Providing feedback is not a work routine
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- A non-electronic form differs from current routines, as electronic systems are used
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- Procedures of information transfer and feedback are absent
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Organization
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Organization
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- There is no coordination of the acute care chain
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- The redesign should fit into the organization’s policy
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Sense of urgency
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Sense of urgency
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- In practice, the sense of urgency might have been very low
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- On a higher organizational level, there was a sense of urgency for improvement
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Implementation methods
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- Top down implementation approach
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- Implementation during holiday season
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- Features of the redesign itself
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Other factors
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Other factors
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- Practical experience shows that care providers were not willing to work according to the redesign
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- The redesign is desirable
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Control care chains* (acute hip traumas, acute psychiatric care, CVA)
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Routines
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Routines
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- Work routines differ between districts and organizations involved in the care chain
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- The redesign differs from the current work routines
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- Organizations are used to work with digital systems instead of paperwork.
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Organization
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Organization
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- There is no coordination of the acute care chain
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- The redesign should fit into the organization’s policy
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Sense of urgency
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Sense of urgency
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- A need for improvement in information transfer and feedback is experienced, although may not be very urgent
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Implementation methods
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- Top down implementation approach
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- Implementation during holiday season
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- Features of the redesign itself
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Other factors
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Other factors
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- Willingness to work with the redesign depends on whether it is digital or not. As a paper version, willingness would not be very high
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- The ideas behind the redesign are probably desirable
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