Evidence map›Paper›PMID 42437033›Full record

ArticleBMJ innovations2021

Agile Innovation to transform healthcare: innovating in complex adaptive systems is an everyday process, not a light bulb event.

Richard J Holden, Malaz A Boustani, Jose Azar

Abstract read
In one paragraph

Article in BMJ innovations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  15. Creating demand for unmet needs: Agile Storytelling.Frontiers in health services · 2024
    Article
  16. The methodology of the Agile Nudge University.Frontiers in health services · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Becoming an Agile Change Conductor.Frontiers in public health · 2022
    Article
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

3 authors.

Richard J HoldenDepartment of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.ORCID 0000-0002-3603-6158
Malaz A BoustaniDepartment of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Jose AzarDepartment of Medicine, Indiana University Health, Indianapolis, Indiana, USA.

Funding

A Human Factors Approach to Support Older Chronically Ill Patients' Home CareK01AG044439 · NIA · VANDERBILT UNIVERSITY · PI HOLDEN, RICHARD J · 2014 to 2016
$359k
NIA NIH HHS K01 AG044439
6 · The paper itself

Abstract

Innovation is essential to transform healthcare delivery systems, but in complex adapdata are availabletive systems innovation is more than 'light bulb events' of inspired creativity. To achieve true innovation, organisations must adopt a disciplined, customer-centred process. We developed the process of Agile Innovation as an approach any complex adaptive organisation can adopt to achieve rapid, systematic, customer-centred development and testing of innovative interventions. Agile Innovation incorporates insights from design thinking, Agile project management, and complexity and behavioural sciences. It was refined through experiments in diverse healthcare organisations. The eight steps of Agile Innovation are: (1) confirm demand; (2) study the problem; (3) scan for solutions; (4) plan for evaluation and termination; (5) ideate and select; (6) run innovation development sprints; (7) validate solutions; and (8) package for launch. In addition to describing each of these steps, we discuss examples of and challenges to using Agile Innovation. We contend that once Agile Innovation is mastered, healthcare delivery organisations can habituate it as the go-to approach to projects, thus incorporating innovation into how things are done, rather than treating innovation as a light bulb event.

Identifiers

PMID42437033
PMCPMC13355240

What OpenQuestion holds

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LicenceCC BY-NC
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.