Health Policy

A socio-cultural perspective on patient safety by Justin Waring, Emma Rowley

By Justin Waring, Emma Rowley

This edited quantity of unique chapters brings jointly researchers from worldwide who're exploring the aspects of healthiness care association and supply which are occasionally marginal to mainstream sufferer defense theories and methodologies yet supply vital insights into the socio-cultural and organizational context of sufferer security. by way of studying those severe insights or views and drawing upon theories and methodologies frequently missed by means of mainstream defense researchers, this assortment indicates we will be able to study extra approximately not just the limitations and drivers to enforcing sufferer defense programmes, but in addition concerning the extra basic concerns that form notions of security, exchange options for reinforcing security, and the broader implications of the protection time table at the way forward for healthiness care supply. In so doing, A Socio-cultural standpoint on sufferer safeguard demanding situations the taken-for-granted assumptions round basic philosophical and political matters upon which mainstream orthodoxy is based. The publication attracts upon various theoretical and empirical methods from around the social sciences to enquire and query the sufferer security stream. every one bankruptcy takes as its concentration and query a specific element of the sufferer safeguard reforms, from its coverage context and theoretical foundations to its useful software and manifestation in scientific perform, while additionally contemplating the broader implications for the association and supply of well-being care companies. for this reason, the chapters every one draw upon a unique theoretical or methodological method of seriously discover particular dimensions of the sufferer protection schedule. Taken as an entire, the gathering advances a powerful, coherent argument that's a lot had to counter a number of the uncritical assumptions that have to be defined and analyzed if sufferer security is certainly to be accomplished

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Mesman. Basingstoke: Palgrave Macmillan, pp. 95舑112. , Batalden, P. and Barach, P. 2004. Integrating patient safety into the clinical microsystem, Quality and Safety in Healthcare, 13, 34舑8. Vaughan, D. 1999. The dark side of organizations: mistake, misconduct and disaster. Annual Review of Sociology, 25, 271舑305. , Sutcliffe, K. and Obstfeld, D. 2008. Organizing for high reliability: processes of collective mindfulness. In: Crisis Management, edited by A. Boin. Thousand Oaks, CA: Sage, pp. 31舑67.

Consideration has turned, therefore, to understanding more about the fundamentals of human error and the ways in which 舖honest mistakes舗 can be avoided or their effects mitigated. It is at this juncture that policymakers and have turned to the experiences of industries such as aviation, space travel, nuclear power, shipping and petrochemicals that are not only high risk, but consistently shown to be reliable in terms of how they manage the risks to safety and promote organizational learning. In seeking to emulate these industries, the patient safety movement therefore embraced the principles of 舖safety science舗, including the theoretical and practical contributions from cognitive and social psychology, ergonomics and human factors and strategic risk management (Sheen 1987, Weick 1990, Leape 1997, Helmreich 2000, NASA/Columbia Accident Investigation Board 2003, Woods and Cook 2003, Starbuck and Farjoun 2005).

In the chapters in this section of the collection, practice is deconstructed and presented in a way that highlights the hidden or neglected competencies that make clinical practice safe. Drach-Zahavy and Somech discuss the gap between policy and practice, by examining nurses舗 decision-making and use of heuristics in rationalizing their actions. They suggest that non-adherence to rules and guidelines is not something that occurs in an ad hoc fashion, but is systematic and predictable. Mesman continues this focus on the minutiae of health care practice, focusing on what makes safe practice (opposed to what causes errors).

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