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 all over the world who're exploring the points of future health care association and supply which are occasionally marginal to mainstream sufferer defense theories and methodologies yet provide vital insights into the socio-cultural and organizational context of sufferer defense. by means of studying those serious insights or views and drawing upon theories and methodologies usually missed through mainstream security researchers, this assortment indicates we will be able to study extra approximately not just the limitations and drivers to enforcing sufferer security programmes, but in addition concerning the extra primary concerns that form notions of security, trade recommendations for boosting defense, and the broader implications of the protection schedule at the way forward for health and wellbeing care supply. In so doing, A Socio-cultural viewpoint on sufferer security demanding situations the taken-for-granted assumptions round primary philosophical and political matters upon which mainstream orthodoxy is predicated. The booklet attracts upon a number theoretical and empirical methods from around the social sciences to enquire and query the sufferer safeguard circulate. every one bankruptcy takes as its concentration and query a selected element of the sufferer security reforms, from its coverage context and theoretical foundations to its functional software and manifestation in scientific perform, while additionally contemplating the broader implications for the association and supply of wellbeing and fitness care prone. for that reason, the chapters each one draw upon a unique theoretical or methodological method of seriously discover particular dimensions of the sufferer safeguard time table. 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 must be defined and analyzed if sufferer security is certainly to be completed

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Anat Drach-Zahavy is a senior lecturer at the Faculty of Health and Welfare Sciences at the University of Haifa, Israel. She is the head of the research centre for the study, implementation and assimilation of evidence-based practice. Her research is in the areas of teamwork, safety and employee舗s health. Rick Iedema is a Research Professor in Organizational Communication and Director at the Centre for Health Communication, Faculty of Arts and Social Sciences at the University of Technology, Sydney.

C. and Hiatt, H. 1991. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. New England Journal of Medicine, 324(6), 377舑84. L. 1997. A systems analysis to medical error. Journal of Evaluation in Clinical Practice, 3(3), 213舑22. Lilford, R. 2010. The English Patient Safety Research Programme: a commissioner舗s tale. Journal of Health Services Research and Policy, 15(s1), 1舑3. Millman, M. 1976. The Unkindest Cut: Life in the Backrooms of Medicine.

This is conventionally attributed to a 舖blame culture舗 within health care, which discourages staff from being open and honest about their mistakes in the belief that they will be reprimanded or disciplined. This assignment of individual blame reflects a 舖person-centred舗 view of safety that is ignorant of the latent factors, whilst emphasizing the need to instil a 舖just culture舗 that fosters openness without the fear of blame (Reason 1997). More broadly speaking, the creation of a 舖safety culture舗 is seen as fundamental to the success of safety management, which involves shared attitudes, beliefs and practices related to safety, including mindfulness to danger; appreciation of the 舖systems approach舗; openness, trust and the sharing of information; a reflexive attitude towards safety improvement; and effective leadership that promotes the goals of safety.

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