How come nothing changed? Reflections on the fasting-time project

Morten Hertzum*, Jesper Simonsen

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingArticle in proceedingsResearchpeer-review


Many healthcare interventions fail to produce the intended effect. In this paper we look back at the fasting-time project, which aimed to shorten patients' preoperative fasting times. However, the project failed to achieve this effect, even though it had been identified and prioritized by the clinicians at the studied hospital. A set of mutually reinforcing factors collectively explain why the project failed to produce change. The four main factors are: lack of urgency, risk aversion, day-to-day busyness, and lack of managerial commitment at the department level. The simultaneous presence of these factors complicates efforts to counter them.

Original languageEnglish
Title of host publicationDigital Personalized Health and Medicine - Proceedings of MIE 2020
EditorsLouise B. Pape-Haugaard, Christian Lovis, Inge Cort Madsen, Patrick Weber, Per Hostrup Nielsen, Philip Scott
Number of pages5
PublisherIOS Press
Publication date16 Jun 2020
ISBN (Electronic)9781643680828
Publication statusPublished - 16 Jun 2020
Event30th Medical Informatics Europe Conference, MIE 2020 - Geneva, Switzerland
Duration: 28 Apr 20201 May 2020


Conference30th Medical Informatics Europe Conference, MIE 2020
SeriesStudies in Health Technology and Informatics


  • Change management
  • Effects realization
  • Fasting time
  • Implementation

Cite this