Abstract
This paper makes a case for taking a systems view of knowledge management within health-care provision, concentrating on the emergency care process in the UK National Health Service. It draws upon research in two case-study organizations (a hospital and an ambulance service). The case-study organizations appear to be approaching knowledge (and information) management in a somewhat fragmented way. They are trying to think more holistically, but (perhaps) because of the ways their organizations and their work are structured, they cannot ‘see’ the whole of the care process. The paper explores the complexity of knowledge management in emergency health care and draws the distinction for knowledge management between managing local and operational knowledge, and global and clinical knowledge.
References
Fawcett SE and Cooper MB (2001). Process integration for competitive success: benchmarking barriers and bridges. Benchmarking 8: 396–412.
Morash EA and Clinton SR (1998). Supply chain integration: customer value through collaborative closeness versus operational excellence. J Marketing Theory Prac 6: 104–120.
Minnick A, Young WB and Roberts MJ (1995). 2,000 patients relate their hospital experiences. Nurs Mngt 26: 25–31.
Newman K (1994). The single visit clinic: a case study in process re-engineering. Bus Change Re-eng 2: 10–18.
Bence V (1995). St James's Hospital and Lucas Engineering Systems: a BPR collaboration. Bus Change Re-eng 2: 30–39.
Arnott S (2003). National buying to slash NHS costs. Computing, 26 February. http://www.computing.co.uk/news/1139071, last accessed 27 September 2004.
Rubenstein-Montano B, et al and The Knowledge Management Methodology Team (2001). A systems thinking framework for knowledge management. Decision Support Syst 31: 5–16.
Argyris C and Schön DA (1978). Organizational Learning, A Theory of Action Perspective. Addison-Wesley: Reading, MA.
Cuthbertson C and Farrington J (2002). Methods for knowledge management strategy formulation: a case study. In: Coakes E, Willis D and Clarke S (eds). Knowledge Management in the SocioTechnical World: The Graffiti Continues. Springer-Verlag, London, pp 139–152.
Ferrari FM, Fares CB and Martinelli DP (2002). The systemic approach of SSM: the case of a Brazilian company. Syst Prac Action Res 15: 51–66.
Al-Karaghouli W, Fitzgerald G and Alshawi S (2002). Knowledge requirements systems (KRS): an approach to improving and understanding requirements. In: Coakes E, Willis D and Clarke S (eds). Knowledge Management in the Sociotechnical World: The Graffiti Continues. Springer-Verlag, London, pp 170–184.
Senge PM (1990). The Fifth Discipline, The Art and Practice of the Learning Organization. Doubleday: New York.
Coakes E, Willis D and Clarke S (2002). Knowledge Management in the SocioTechnical World: The Graffiti Continues. Springer-Verlag: London.
Reuthe E and Allee V (1999). Knowledge management: moving the care model from a ‘snapshot’ to a ‘story’. Health Forum J 42: 26–28.
Desouza KC (2002). Knowledge management in hospitals: a process oriented view and staged look at managerial issues. Int J Healthcare Technol Mngt 4: 478–497.
Newell S et al (2003). ‘Best practice’ development and transfer in the NHS: the importance of process as well as product knowledge. Health Services Mngt Res 16: 1–12.
Checkland P and Scholes J (1990). Soft Systems Methodology in Action. John Wiley: Chichester.
Checkland P (1999). Systems Thinking, Systems Practice. John Wiley: Chichester.
Checkland P and Holwell S (1998). Information, Systems and Information Systems—Making Sense of the Field. John Wiley: Chichester.
Lehaney B and Paul RJ (1996). The use of soft systems methodology in the development of a simulation of out-patient services at Watford General Hospital. J Opl Res Soc 47: 864–870.
Lehaney B, Clarke SA and Paul RJ (1999). A case of intervention in an outpatients department. J Opl Res Soc 50: 877–891.
Batalden P and Splaine M (2002). What will it take to lead the continual improvement and innovation of health care in the twenty-first century? Qual Mngt Health Care 11: 45–54.
Van Beveren J (2003). Does health care for knowledge management? J Knowledge Mngt 7: 90–95.
Davenport TH and Glaser J (2002). Just-in-time-delivery comes to knowledge management. Harvard Bus Rev 80: 107–112.
Melymuka K (2002). Knowledge management helps cut errors by half. Computerworld 36: 44.
Pedersen MK and Larsen MH (2001). Distributed knowledge management based on product state models—the case of decision support in health care administration. Decision Support Syst 31: 139–158.
Ashburner L and Fitzgerald L (1996). Beleaguered professionals: clinicians and institutional change in the NHS. In: Scarbrough H (ed). The Management of Expertise. Macmillan Press, Basingstoke, pp 190–216.
Hansen MT, Nohria N and Tierney T (1999). What's your strategy for managing knowledge? Harvard Bus Rev 77: 106–116.
Carter B (2000). The expert's opinion: knowledge management. J Database Mngt 11: 42–43.
Scarbrough H and Swan J (2001). Explaining the diffusion of knowledge management: the role of fashion. Br J Mngt 12: 3–12.
Earl M (2001). Knowledge management strategies: toward a taxonomy. J Mngt Inform Syst 18: 215–233.
Alavi M and Leidner DE (2001). Review: knowledge management and knowledge management systems: conceptual foundations and research issues. MIS Q 25: 107–136.
Forgionne GA and Kohli R (1995). Integrated MSS effects: an empirical health care investigation. Inform Process Mngt 31: 879–896.
Slipy SM (1995). Boston hospital using seven telemedicine systems within facility. Health Mngt Technol 16: 34.
Moreno L et al (2001). Using KADS methodology in a simulation assisted knowledge based system: application to hospital management. Expert Syst Appl 20: 235–249.
Moseley L and Mead D (2001). Explaining the low penetration of decision support systems into clinical practice. Expert Update 3: 30–34.
Standridge CR and Steward D (2000). Using expert systems for simulation modeling of patient scheduling. Simulation 75: 148–156.
Eden C and Ackermann F (1989). Strategic options development and analysis (SODA)—using a computer to help with the management of strategic vision. In: Doukidis GI, Land F and Miller G (eds). Knowledge-based Management Support Systems. Ellis Horwood, Chichester, pp 198–207.
Eden C and Ackermann F (1998). Making Strategy: The Journey of Strategic Management. Sage: London.
Roginski C (1995). Applying SODA in the NHS—a facilitator's story. OR Insight 8: 28–32.
Shaw D (2003). Evaluating electronic brainstorms using new techniques to analyse the brainstormed ideas. J Opl Res Soc 54: 692–705.
Sosik JJ, Avolio BJ and Kahai SS (1998). Inspiring group creativity—comparing anonymous and identified electronic brainstorming. Small Group Res 29: 3–31.
Dennis AR, Haley BJ and Vandenberg RJ (1996). A meta-analysis of effectiveness, efficiency, and participant satisfaction in group support systems. In: DeGross JI, Jarvenpaa SL and Srinivasan A (eds). Proceedings of the International Conference on Information Systems, Cleveland, Ohio. Association of Information Systems, Atlanta, Georgia, USA, pp 278–289.
Shaw D (2003). Evaluating electronic workshops through analysing the ‘brainstormed’ ideas. J Opl Res Soc 54: 692–705.
Shaw D, Ackermann F and Eden C (2003). Sharing knowledge in group problem structuring. J Opl Res Soc 54: 936–948.
Edwards JS, Collier PM and Shaw D (2003). Management Accounting and Knowledge Management. CIMA: London.
Scarbrough H (1996). Strategic IT in financial services: the social construction of strategic knowledge. In: Scarbrough H (ed). The Management of Expertise. Macmillan, Basingstoke, pp 150–173.
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We are grateful for the very helpful comments of two anonymous referees.
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Edwards, J., Hall, M. & Shaw, D. Proposing a systems vision of knowledge management in emergency care. J Oper Res Soc 56, 180–192 (2005). https://doi.org/10.1057/palgrave.jors.2601897
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DOI: https://doi.org/10.1057/palgrave.jors.2601897