Wiedner, Rene, Croft, Charlotte and McGivern, Gerry (2020) Improvisation during a crisis : hidden innovation in healthcare systems. BMJ Leader . doi:10.1136/leader-2020-000259 (In Press)

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Abstract

Background Crises, such as the COVID-19 pandemic, risk overwhelming health and social care systems. As part of their responses to a critical situation, healthcare professionals necessarily improvise. Some of these local improvisations have the potential to contribute to important innovations for health and social care systems with relevance beyond the particular service area and crisis in which they were developed.

Findings This paper explores some key drivers of improvised innovation that may arise in response to a crisis. We highlight how services that are not considered immediate priorities may also emerge as especially fertile areas in this respect.

Conclusion Health managers and policymakers should monitor crisis-induced improvisations to counteract the potential deterioration of non-prioritised services and to identify and share useful innovations. This will be crucial as health and social care systems around the world recover from the COVID-19 pandemic and head into another potential crisis: a global economic recession.

Item Type:	Journal Article
Subjects:	H Social Sciences > HD Industries. Land use. Labor
Divisions:	Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH):	Organizational change, Crisis management, Emergency communication systems, Communication in emergency medicine, Health services administration, Emergency management -- Information services, Organizational effectiveness, Organizational learning
Journal or Publication Title:	BMJ Leader
Publisher:	BMJ Publishing Group
ISSN:	2398-631X
Official Date:	2020
Dates:	Date Event 2020 Published 17 June 2020 Available 26 May 2020 Accepted
Date of first compliant deposit:	11 June 2020
DOI:	10.1136/leader-2020-000259
Status:	Peer Reviewed
Publication Status:	In Press
Publisher Statement:
Access rights to Published version:	Open Access
Related URLs:	Publisher

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