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What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings.

Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. Adv Health Sci Educ Theory Pract. 2016;21(4):803-17. doi:10.1007/s10459-016-9667-8.

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September 27, 2016
Allard J, Bleakley A. Adv Health Sci Educ Theory Pract. 2016;21(4):803-17.
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This ethnographic study examined the effects of top-down targets and protocols on health care providers' practices in an emergency department and a mental health ward in the United Kingdom. Top-down policy directives seemed to disrupt work patterns and led to unintended consequences.

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Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. Adv Health Sci Educ Theory Pract. 2016;21(4):803-17. doi:10.1007/s10459-016-9667-8.