PT  - JOURNAL ARTICLE
AU  - Rene Wiedner
AU  - Charlotte Croft
AU  - Gerry McGivern
TI  - Improvisation during a crisis: hidden innovation in healthcare systems
AID  - 10.1136/leader-2020-000259
DP  - 2020 Dec 01
TA  - BMJ Leader
PG  - 185--188
VI  - 4
IP  - 4
4099  - http://bmjleader.bmj.com/content/4/4/185.short
4100  - http://bmjleader.bmj.com/content/4/4/185.full
SO  - BMJ Leader2020 Dec 01; 4
AB  - Background Crises, such as the COVID-19 pandemic, risk overwhelming health and social care systems. As part of their responses to a critical situation, healthcare professionals necessarily improvise. Some of these local improvisations have the potential to contribute to important innovations for health and social care systems with relevance beyond the particular service area and crisis in which they were developed.Findings This paper explores some key drivers of improvised innovation that may arise in response to a crisis. We highlight how services that are not considered immediate priorities may also emerge as especially fertile areas in this respect.Conclusion Health managers and policymakers should monitor crisis-induced improvisations to counteract the potential deterioration of non-prioritised services and to identify and share useful innovations. This will be crucial as health and social care systems around the world recover from the COVID-19 pandemic and head into another potential crisis: a global economic recession.