Strategies to change organizational culture to improve healthcare performance

Added May 4, 2020

Citation: Parmelli E, Flodgren G, Beyer F, et al. The effectiveness of strategies to change organisational culture to improve healthcare performance: a systematic review. Implementation Science 2011; 6(1): 33

What is this? The COVID-19 pandemic is placing a strain on healthcare systems. Existing research on ways to improve healthcare outcomes by changing organizational cultures might provide information for policy makers to help with this.

In this systematic review, the authors searched for comparative effectiveness studies of strategies to change organisational culture in order to improve healthcare performance. They did their search in October 2009. They included two controlled before-and-after studies (both judged to be at high risk of bias) assessing the impact of educational interventions targeting handwashing practice and improving employee spirit at work. The studies were from Canada (1 study) and the USA (1).

What was found: At the time of this review, current available evidence did not identify any generalizable strategies to change organizational culture that were effective at improving healthcare outcomes.

In the available research, which was at high risk of bias, interventions aimed at changing organizational culture had positive effects on work-related (improved employee spirit), personal (appreciating self and others), and clinical outcomes (decreased nosocomial infections).


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