Making Sense of Hospital Project MisPerformance: Over Budget, Late, Time and Time Again—Why? And What Can Be Done About It?
Hospital projects worldwide often experience misperformance, showing a tendency to exceed their estimated cost, miss their deadline, suffer quality problems, and yield benefit shortfalls. Considering this ubiquitous problem, this paper aims to make sense of this phenomenon by addressing the followin...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-05-01
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| Series: | Engineering |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2095809921005154 |
| _version_ | 1818048494395457536 |
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| author | Peter E.D. Love Lavagnon A. Ika |
| author_facet | Peter E.D. Love Lavagnon A. Ika |
| author_sort | Peter E.D. Love |
| collection | DOAJ |
| description | Hospital projects worldwide often experience misperformance, showing a tendency to exceed their estimated cost, miss their deadline, suffer quality problems, and yield benefit shortfalls. Considering this ubiquitous problem, this paper aims to make sense of this phenomenon by addressing the following research question: How can we make sense of hospital project misperformance, and what can be done to mitigate its occurrence? We use an illustrative case study approach and the analytical lens of sense-making to examine the misperformance of three mega-hospital projects. Our research reveals issues such as scope changes, an inability to adapt and respond to risk and uncertainty, ineffectual project management and governance, and optimism bias, which combine to impact project performance adversely. We suggest that the two prominent theoretical perspectives dominating the literature in this field fall short of adequately explaining hospital project misperformance. We provide suggestions for improving the procurement process of hospitals and submit there is a need to develop a robust and balanced theory of project misperformance. |
| first_indexed | 2024-12-10T10:22:35Z |
| format | Article |
| id | doaj.art-a7ac0dc440074daba18ac76474438d08 |
| institution | Directory Open Access Journal |
| issn | 2095-8099 |
| language | English |
| last_indexed | 2024-12-10T10:22:35Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Engineering |
| spelling | doaj.art-a7ac0dc440074daba18ac76474438d082022-12-22T01:52:49ZengElsevierEngineering2095-80992022-05-0112183201Making Sense of Hospital Project MisPerformance: Over Budget, Late, Time and Time Again—Why? And What Can Be Done About It?Peter E.D. Love0Lavagnon A. Ika1School of Civil and Mechanical Engineering, Curtin University, Perth, WA 6845, Australia; Corresponding authors.Telfer School of Management, University of Ottawa, Ottawa, ON KIN 6N5, Canada; Corresponding authors.Hospital projects worldwide often experience misperformance, showing a tendency to exceed their estimated cost, miss their deadline, suffer quality problems, and yield benefit shortfalls. Considering this ubiquitous problem, this paper aims to make sense of this phenomenon by addressing the following research question: How can we make sense of hospital project misperformance, and what can be done to mitigate its occurrence? We use an illustrative case study approach and the analytical lens of sense-making to examine the misperformance of three mega-hospital projects. Our research reveals issues such as scope changes, an inability to adapt and respond to risk and uncertainty, ineffectual project management and governance, and optimism bias, which combine to impact project performance adversely. We suggest that the two prominent theoretical perspectives dominating the literature in this field fall short of adequately explaining hospital project misperformance. We provide suggestions for improving the procurement process of hospitals and submit there is a need to develop a robust and balanced theory of project misperformance.http://www.sciencedirect.com/science/article/pii/S2095809921005154CostHospitalOptimism biasProcurementProject managementPerformance |
| spellingShingle | Peter E.D. Love Lavagnon A. Ika Making Sense of Hospital Project MisPerformance: Over Budget, Late, Time and Time Again—Why? And What Can Be Done About It? Engineering Cost Hospital Optimism bias Procurement Project management Performance |
| title | Making Sense of Hospital Project MisPerformance: Over Budget, Late, Time and Time Again—Why? And What Can Be Done About It? |
| title_full | Making Sense of Hospital Project MisPerformance: Over Budget, Late, Time and Time Again—Why? And What Can Be Done About It? |
| title_fullStr | Making Sense of Hospital Project MisPerformance: Over Budget, Late, Time and Time Again—Why? And What Can Be Done About It? |
| title_full_unstemmed | Making Sense of Hospital Project MisPerformance: Over Budget, Late, Time and Time Again—Why? And What Can Be Done About It? |
| title_short | Making Sense of Hospital Project MisPerformance: Over Budget, Late, Time and Time Again—Why? And What Can Be Done About It? |
| title_sort | making sense of hospital project misperformance over budget late time and time again why and what can be done about it |
| topic | Cost Hospital Optimism bias Procurement Project management Performance |
| url | http://www.sciencedirect.com/science/article/pii/S2095809921005154 |
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