Analysing the "field" of patient safety employing Bourdieusian technologies

Journal of Health, Organisation and Management

Volumn 23, Issue 6, 2009, Pages 597-609

  Travaglia, Joanne F ^a   Braithwaite, Jeffrey ^a  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

Author keywords

Australia; Patient care; Quality improvement; Sociology

Indexed keywords

EID: 72149095480     PISSN: 14777266     EISSN: None     Source Type: Journal    
DOI: 10.1108/14777260911001626     Document Type: Article

References (78)

1. Agency for Healthcare Research and Quality (2008), Glossary, Agency for Healthcare Research and Quality, available at: www.psnet.ahrq.gov/glossary.aspx (accessed 2 February 2009).
2. Altman, D.E., Clancy, C. and Blendon, R.J. (2004), Improving patient safety - five years after the IOM report, New England Journal of Medicine, Vol. 351 No. 20, pp. 2041-3.
3. Auerbach, A.D., Ladefeld, C.S. and Shojania, K.G. (2007), The tension between needing to improve care and knowing how to do it, New England Journal of Medicine, Vol. 357 No. 6, pp. 608-13.
4. Australian Medical Association (2007), The Parliamentary Inquiry into Royal North Shore Hospital (RNSH), Australian Medical Association, Sydney, available at: www.ama.org.au (accessed 12 November 2008).
5. Barker, K.N. and McConnell, W.E. (1962), The problems of detecting medication errors in hospitals, American Journal of Hospital Pharmacy, Vol. 19, pp. 360-9.
6. Beecher, H. and Todd, D. (1954), A study of the deaths associated with anesthesia and surgery, Annals of Surgery, Vol. 140 No. 1, pp. 2-34.
7. Bleich, S. (2005), Medical errors: five years after the IOM report, The Commonwealth Fund, available at: www.cmwf.org (accessed 9 December 2009).
8. Bourdieu, P. (1977), Outline of a Theory of Practice, Cambridge University Press, Cambridge.
9. Bourdieu, P. (1990), The Logic of Practice, Polity Press, Cambridge.
10. Bourdieu, P. (1991), Language and Symbolic Power, Polity Press, Malden, MA.
11. Bourdieu, P. and Wacquant, L.J.D. (Eds) (1992), Invitation to Reflexive Sociology, University of Chicago Press, Chicago, IL.
12. Braithwaite, J., Travaglia, J. and Nugus, P. (2007), Giving a Voice to Patient Safety in New South Wales, Centre for Clinical Governance Research in Health, University of New South Wales and Clinical Excellence Commission, Sydney.
13. Brennan, T.A., Leape, L.L., Laird, N.M., Hebert, L., Localio, A.R., Lawthers, A.G., Newhouse, J.P., Weiler, P.C. and Hiatt, H.H. (1991), Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I, New England Journal of Medicine, Vol. 324 No. 6, pp. 370-6.
14. Butler, I. and Drakeford, M. (2005), Scandal, Social Policy and Social Welfare, Policy Press, Bristol.
15. California Medical Association (1977), Report of the Medical Insurance Feasibility Study, California Medical Association, San Francisco, CA.
16. Chang, A., Schyve, P.M., Croteau, R.J., O'Leary, D.S. and Loeb, J.M. (2005), The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events, International Journal for Quality in Health Care, Vol. 17 No. 2, pp. 95-105.
17. Davis, P., Lay-Yee, R., Briant, R., Ali, W., Scott, A. and Schug, S. (2002), Adverse events in New Zealand public hospitals I: occurrence and impact, New Zealand Medical Journal, Vol. 115 No. 1167, p. 271.
18. Denham, C.R. (2007), The new patient safety officer: a lifeline for patients, a lifejacket for CEOs, Journal of Patient Safety, Vol. 3 No. 1, pp. 43-54.
19. Department of Health (2001), The report of the public inquiry into children's heart surgery at the Bristol Royal Infirmary 1984-1995: learning from Bristol, Stationery Office, London, available at: www.bristol-inquiry.org.uk/final_report/the_report.pdf (accessed 12 March 2009).
20. Dick, P. (2008), Resistance, gender, and Bourdieu's notion of field, Management Communication Quarterly, Vol. 21 No. 3, pp. 327-43.
21. Dovey, S., Hickner, J. and Phillips, B. (2006), Developing and using taxonomies of errors, in Walshe, K. and Boaden, R. (Eds), Patient Safety Research into Practice, Open University Press, Maidenhead, pp. 93-107.
22. Dovey, S.M., Meyers, D.S., Phillips, R.L. Jr, Green, L.A., Fryer, G.E., Galliher, J.M., Kappus, J. and Grob, P. (2002), A preliminary taxonomy of medical errors in family practice, Quality and Safety in Health Care, Vol. 11 No. 3, pp. 233-8.
23. Elder, N.C., Graham, D., Brandt, E. and Hickner, J. (2007), Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN), Journal of the American Board of Family Medicine, Vol. 20 No. 2, pp. 115-23.
24. Espin, S., Levinson, W., Regehr, G., Baker, G.R. and Lingard, L. (2006), Error or 'act of God'? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure, Surgery, Vol. 139 No. 1, pp. 6-14.
25. Faunce, T.A. and Bolsin, S.N.C. (2004), Three Australian whistleblowing sagas: lessons for internal and external regulation, Medical Journal of Australia, Vol. 181 No. 1, pp. 44-7.
26. Gabe, J., Bury, M. and Elston, M.A. (2004), Key Concepts in Medical Sociology, Sage, London.
27. Gallagher, T.H., Waterman, A.D., Garbutt, J.M., Kapp, J.M., Chan, D.K., Dunagan, W.C., Fraser, V.J. and Levinson, W. (2006), US and Canadian physicians' attitudes and experiences regarding disclosing errors to patients, Archives of Internal Medicine, Vol. 166 No. 15, pp. 1605-11.
28. Gawande, A. (2007), Better: A Surgeon's Notes on Performance, Profile Books, London.
29. Giles, S., Fletcher, M., Baker, M. and Thomson, R. (2006), Incident reporting and analysis, in Walshe, K. and Boaden, R. (Eds), Patient Safety Research into Practice, Open University Press, Maidenhead, pp. 93-107.
30. Grenfell, M. (2004), Pierre Bourdieu: Agent Provocateur, Continuum, London.
31. Grol, R., Berwick, D.M. and Wensing, M. (2008), On the trail of quality and safety in health care, BMJ, Vol. 336 No. 7635, pp. 74-6.
32. Groopman, J. (2007), How Doctors Think, Scribe, Melbourne.
33. Hindle, D., Braithwaite, J. and Iedema, R. (2005), Patient Safety Research: A Review of the Technical Literature, Centre for Clinical Governance Research in Health, University of New South Wales and Clinical Excellence Commission, Sydney.
34. Hindle, D., Braithwaite, J., Iedema, R. and Travaglia, J. (2006), Patient Safety: A Comparative Analysis of Eight Inquiries in Six Countries, Centre for Clinical Governance Research in Health, University of New South Wales and Clinical Excellence Commission, Sydney.
35. Hippocrates (400 BCE), The Oath, available at: http://classics.mit.edu/Hippocrates/hippoath.html (accessed 17 January 2009).
36. Iedema, R., Jorm, C.M., Braithwaite, J., Travaglia, J. and Lum, M. (2006), A root cause analysis of clinical errors: confronting the disjunction between formal rules and situated clinical activity, Social Science and Medicine, Vol. 63 No. 5, pp. 1201-12.
37. Jones, M.A. (2006), Patient safety and the law, in Walshe, K. and Boaden, R. (Eds), Patient Safety Research into Practice, Open University Press, Maidenhead, pp. 79-89.
38. Kohn, L.T., Corrigan, J.M. and Donaldson, M.S. (Eds) (2000), To Err is Human: Building a Safer Health System, The National Academies Press, Washington, DC.
39. Leape, L.L. and Berwick, D.M. (2005), Five years after to err is human: what have we learned?, Journal of the American Medical Association, Vol. 293 No. 19, pp. 2384-90.
40. Light, D.W. (1997), The restructuring of the American health care system, in Litman, T.J. and Robbins, L.S. (Eds), Health Politics and Policy, Delmar, Albany, NY, pp. 46-63.
41. Light, D.W. (2000), The medical profession and organizational change: from professional dominance to countervailing power, in Bird, C.E., Conrad, P. and Fremont, A.M. (Eds), Handbook of Medical Sociology, Prentice-Hall, Upper Saddle River, NJ, pp. 201-16.
42. Longo, D.R., Hewett, J.E., Ge, B. and Schubert, S. (2005), The long road to patient safety: a status report on patient safety systems, Journal of the American Medical Association, Vol. 294 No. 22, pp. 2858-65.
43. Manser, T. and Staender, S. (2005), Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure, Acta Anaesthesiologica Scandinavica, Vol. 49 No. 6, pp. 728-34.
44. May, T. and Aulisio, M.P. (2001), Medical malpractice, mistake prevention, and compensation, Kennedy Institute of Ethics Journal, Vol. 11 No. 2, pp. 135-46.
45. Mercurio, J. (2002), Bodies, Vintage, London
46. Millenson, M.L. (2002), Pushing the profession: how the news media turned patient safety into a priority, Quality and Safety in Health Care, Vol. 11 No. 1, pp. 57-63.
47. National Institute for Clinical Excellence (2008), available at: www.nice.org.uk/page.aspx?o1/4home (accessed 12 June 2008), National Institute for Clinical Excellence, National Institute for Clinical Excellence, London.
48. Naveh, E., Katz-Navon, T. and Stern, Z. (2006), Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety, Medical Care, Vol. 44 No. 2, pp. 117-23.
49. Porter, R. (1997), The Greatest Benefit to Mankind: A Medical History of Humanity from Antiquity to the Present, Harper Collins, London.
50. Redfern, M., Keeling, J. and Powell, E. (2001), The Royal Liverpool Children's Inquiry, The House of Commons, London, available at: www.rlcinquiry.org.uk/ (accessed 12 March 2009).
51. Rittel, H. and Weber, M. (1973), Dilemmas in a general theory of planning, Policy Sciences, Vol. 4, pp. 155-69.
52. Robinson, A.R., Hohmann, K.B., Rifkin, J.I., Topp, D., Gilroy, C.M., Pickard, J.A. and Anderson, R.J. (2002), Physician and public opinions on quality of health care and the problem of medical errors, Archives of Internal Medicine, Vol. 162 No. 19, pp. 2186-90.
53. Runciman, W.B., Merry, A. and Walton, M. (2006), Safety and Ethics in Healthcare: A Guide to Getting it Right, Oxford University Press, Oxford.
54. Shojania, K.G., Duncan, B.W., McDonald, K.M. and Wachter, R.M. (2002), Safe but sound: patient safety meets evidence-based medicine, Journal of the American Medical Association, Vol. 288 No. 4, pp. 508-13.
55. Smith, A.F., Goodwin, D., Mort, M. and Pope, C. (2006), Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting, British Journal of Anaesthesia, Vol. 96 No. 6, pp. 715-21.
56. Smith, J. (2005), Shipman: the final report, Crown Copyright, Norwich, available at: www.the-shipman-inquiry.org.uk/finalreport.asp (accessed 10 March 2009).
57. Smith, R. (1998), All changed, changed utterly, British Medical Journal, Vol. 316, pp. 1917-8.
58. Stanley, D. (2007), Editorial, Journal of Social Work, Vol. 7 No. 1, pp. 5-6.
59. Stanley, N. and Manthorpe, J. (2004), The inquiry as Janus, in Stanley, N. and Manthorpe, J. (Eds), The Age of the Inquiry: Learning and Blaming in Health and Social Care, Routledge, London.
60. Starr, P. (1982), The Social Transformation of American Medicine, Basic Books, New York, NY.
61. Vincent, C. (1997), Risk, safety and the dark side of quality, British Medical Journal, Vol. 314, pp. 1775-6.
62. Vincent, C. (2001), Clinical Risk Management: Enhancing Patient Safety, BMJ Publications, London.
63. Vincent, C. (2006), Patient Safety, Elsevier, Edinburgh.
64. Vincent, C., Neale, G. and Woloshynowych, M. (2001), Adverse events in British hospitals: preliminary retrospective record review, British Medical Journal, Vol. 322 No. 7285, pp. 517-9.
65. Walshe, K. and Boaden, R. (Eds) (2006), Patient Safety Research into Practice, Open University Press, Maidenhead.
66. Warburton, R.N. (2005), Patient safety - how much is enough?, Health Policy, Vol. 71 No. 2 pp. 223-32.
67. Waring, J., McDonald, R. and Harrison, S. (2006), Safety and complexity: inter-departmental relationships as a threat to patient safety in the operating department, Journal of Health Organization and Management, Vol. 20 Nos 2/3, pp. 227-42.
68. Watcher, R.M. (2004), The end of the beginning: patient safety five years after 'To err is human', Health Affairs, Vol. 25 No. 6, pp. 534-45.
69. Watcher, R.M. (2008), Understanding Patient Safety, McGraw-Hill, New York, NY.
70. Weinstein, L. (2006), A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis, American Journal of Obstetrics and Gynecology, Vol. 194 No. 4, pp. 1160-5.
71. West, E. (2006), Sociological contributions to patient safety, in Walshe, K. and Boaden, R. (Eds), Patient Safety Research into Practice, Open University Press, Maidenhead, pp. 19-30.
72. Westbrook, J.I., Braithwaite, J., Georgiou, A., Ampt, A., Creswick, N., Coiera, E. and Iedema, R. (2007a), Multi-method evaluation of information and communication technologies in health in the context of wicked problems and socio-technical theory, Journal of the American Medical Informatics Association, Vol. 14 No. 6, pp. 746-55.
73. Westbrook, M.T., Braithwaite, J., Travaglia, J.F., Long, D., Jorm, C. and Iedema, R.A. (2007b), Promoting safety: varied reactions of doctors, nurses and allied health professionals to a safety improvement program, International Journal of Health Care Quality Assurance, Vol. 20 No. 7, pp. 555-71.
74. Williams, R. (1988), Keywords, Fontana Press, London.
75. Wilson, R., Runciman, W., Gibberd, R.W., Harrison, B.T., Newby, L. and Hamilton, J.D. (1995), The quality in Australian health care study, Medical Journal of Australia, Vol. 163 No. 6, pp. 458-71.
76. Woods, D.M., Johnson, J., Holl, J.L., Mehra, M., Thomas, E.J., Ogata, E.S. and Lannon, C. (2005), Anatomy of a patient safety event: a pediatric patient safety taxonomy, Quality and Safety in Health Care, Vol. 14 No. 6, pp. 422-7.
77. Wootton, D. (2007), Bad Medicine, Oxford University Press, Oxford.
78. World Alliance for Patient Safety (2005), World Alliance for Patient Safety: Forward Programme 2005, World Health Organization, Geneva, available at: www.who.int/patientsafety/en/ (accessed 7 February 2009).