A systematic literature review published in BMCHealthServRes identifies nine categories of tensions typically associated with the implementation of innovation in healthcare systems.
]. This again requires sensitivity to random and small outcomes as well as flexibility and short-term planning, for example in the form of agile project management or reflexive change management. In addition to long-term planning, this reflexivity further increases the avoidance and effective management of tensions.
This provides a good starting point for further research on the reasons and context for the emergence of tensions and how tensions are managed. Moreover, the internal and external frameworks of these interactions must be studied with an appropriately process-sensitive method that also considers sub-processes at different levels as the basis for developing innovative ideas in healthcare.
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