Evidence map›Paper›PMID 32552540›Full record

ArticleMedical care research and review : MCRR2021

Managing Organizational Constraints in Innovation Teams: A Qualitative Study Across Four Health Systems.

Mariam Krikorian Atkinson, Sara J Singer

Open access · greenAbstract read
In one paragraph

Article in Medical care research and review : MCRR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  6. Article
  7. Centralization and innovation: Competing priorities for health systems?The International journal of health planning and management · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Mariam Krikorian AtkinsonHarvard University, Boston, MA, USA.ORCID 0000-0001-7603-0757
Sara J SingerStanford University School of Medicine, CA, USA.
Harvard University · USStanford University · US

Funding

Engineering Highly Reliable Learning LabP30HS024453 · AHRQ · HARVARD SCHOOL OF PUBLIC HEALTH · PI SINGER, SARA JEAN · 2015 to 2018
$4.0M
AHRQ HHS P30 HS024453
6 · The paper itself

Abstract

Though increasingly useful for developing complex healthcare innovations, interdisciplinary teams are prone to resistance and other organizational challenges. However, how teams are affected by and manage external constraints over the lifecycle of their innovation project is not well understood. We used a multimethod qualitative approach consisting of over 3 years of participant observation data to analyze how four interdisciplinary teams across different health systems experienced and managed constraints as they pursued process innovations. Specifically, we derived the constraint management process, which demonstrates how teams address constraints at different stages of innovation by applying various tactics. Our findings point to several practical implications concerning innovation processes in healthcare: (a) how conditions in the organizational context, or constraints, can impede team progress at different stages of innovation; and (2) the collective efforts, or tactics, teams use to manage or work around these constraints to further progress on their innovations.

Indexed as

Delivery of Health CareHumansOrganizational InnovationQualitative Researchhealth system innovationinterdisciplinary teamsorganizational structurequalitative methods

Identifiers

PMID32552540
PMCPMC8483614
OpenAlexW3036882762

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.