How to specify process improvements collaboratively using rapid, remote consensus-building: a framework and case study

van der Scheer, J.W., Woodward, M., Ansari, A., Draycott, T., Winter, C., Martin, G., Kuberska, K., Richards, N., Kern, R., Dixon-Woods, M., Thiscovery Authorship Group, ORCID: 0000-0002-7176-0440 and Obstetric Emergency Consensus Authorship Group, , 2020. How to specify process improvements collaboratively using rapid, remote consensus-building: a framework and case study. BMC Medical Research Methodology. ISSN 1471-2288 (Submitted)

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Abstract

Background: Practical methods for facilitating the specification of process improvements in healthcare rapidly, remotely and at scale remain under-developed. We aimed to address this challenge, first, by proposing an approach for engaging diverse stakeholders remotely in consensus-building specifications for improved processes, and second, by deploying the approach in a case study.

Methods: Informed by a participatory ethos, crowdsourcing and consensus-building methods, we organised our proposed approach into a framework with five elements: 1) scope and objective; 2) draft of good practice; 3) participants; 4) consensus-building exercise; 5) consensus-built definition of good practice. We tested the methodological approach in a case study that sought to specify process improvements for the management of obstetric emergencies during the COVID-19 pandemic. A recommendation-elicitation stage using a video illustrating possible processes was followed by two Delphi rounds to reach consensus on improvements.

Results: The expertise and ingenuity of diverse stakeholders in the healthcare system was captured and mobilised: we gathered views from 105 respondents, including representatives from maternity (n=36), infection prevention and control (n=17), and human factors (n=52). The respondents provided 818 recommendations that we synthesised into a set of 22 recommendations. The consensus-building exercise yielded a final set of 16 recommendations. These were used to inform process improvement specifications and develop supporting resources, including an updated video.

Conclusions: The proposed methodological approach facilitated collaborative consensus-building on process improvement specification in an area of pressing service need. This approach has the potential to address many current challenges in process improvement, but will require further evaluation.

Item Type: Journal article
Publication Title: BMC Medical Research Methodology
Creators: van der Scheer, J.W., Woodward, M., Ansari, A., Draycott, T., Winter, C., Martin, G., Kuberska, K., Richards, N., Kern, R., Dixon-Woods, M., Thiscovery Authorship Group, and Obstetric Emergency Consensus Authorship Group,
Publisher: BioMed Central Ltd.
Date: 11 December 2020
ISSN: 1471-2288
Identifiers:
NumberType
1396799Other
Divisions: Schools > School of Science and Technology
Record created by: Jonathan Gallacher
Date Added: 04 Jan 2021 16:48
Last Modified: 04 Jan 2021 16:48
URI: http://irep.ntu.ac.uk/id/eprint/41940

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