Mission possible: open innovation in nursing and patient care services at Massachusetts General Hospital.

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  • Additional Information
    • Source:
      Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101757339 Publication Model: Electronic Cited Medium: Internet ISSN: 2398-631X (Electronic) Linking ISSN: 2398631X NLM ISO Abbreviation: BMJ Lead Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BMJ Publishing Group Ltd, [2017]-
    • Subject Terms:
      Hospitals, General*/organization & administration ; Organizational Innovation*; Humans ; Boston ; Massachusetts ; Nursing Staff, Hospital/psychology ; Leadership
    • Abstract:
      Objectives: Although front-line nurses and staff are uniquely positioned to identify the inefficiencies and gaps in care delivery, formal processes are not always in place to hear from those very employees.
      Design: We established a scalable process that embodies open innovation principles, to broaden and distribute the innovation locus.
      Setting: Massachusetts General Hospital, Boston, MA.
      Particpitants: We invited 8800+ nurses and other direct caregivers to participate in organisational problem solving.
      Interventions: We solicited employees to (1) identify pain points and develop solutions and (2) crowd vote to indicate which ideas they want to see implemented.
      Results: 177 employees submitted 225 ideas, and 928 cast a vote. The 40 participants who submitted top-voted ideas were invited to develop a detailed implementation plan; of those, 27 submitted one. Four ideas emerged as winners.
      Conclusions: Formulating a clear call for ideas, securing leadership buy-in and generating excitement about the process were essential to our efforts. Challenges associated with opening the innovation process involved managing a large volume of participants and submissions, and providing on-the-go training to nurses and staff who were not used to being asked to participate in organisational problem solving.
      Competing Interests: Competing interests: None declared.
      (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
    • Contributed Indexing:
      Keywords: engagement; health system; mentoring; multi-disciplinary; nurse
    • Publication Date:
      Date Created: 20231013 Date Completed: 20240701 Latest Revision: 20240701
    • Publication Date:
      20240702
    • Accession Number:
      10.1136/leader-2023-000777
    • Accession Number:
      37833053