Although healthcare is encouraged to follow an evidence-based approach, there are perceived instances where suboptimal practice persists in the presence of better options due to an inherent resistance to change within many healthcare systems. To continue striving for clinical excellence, it is important to identify deficient practices and make appropriate corrections by implementing new and improved techniques and treatments. Bringing about change, however, tends to be a long, arduous process consisting of several small and successive deviations from the norm, analogous to ‘turning the oil tanker’. Analysing the methods employed by successful healthcare innovators has allowed the development of a ‘three-pronged’ approach to overcoming resistance to change:
1) A determined opinion leader with a network or like-minded opinion leaders.
2) The presentation of hard evidence with adequate praise for current practice and the generation of clearly-worded, specific guidelines.
3) The use of simple reminders and continuous analysis of outcomes.
Employing this three-pronged approach could lead to faster and more successful implementation of change within the healthcare system.