Towards a sociology of healthcare safety and quality

Sociology of Health and Illness

Volumn 38, Issue 2, 2016, Pages 181-197

  Allen, Davina ^a   Braithwaite, Jeffrey ^b   Sandall, Jane ^c   Waring, Justin ^d  

^a CARDIFF UNIVERSITY   (United Kingdom)

^b MACQUARIE UNIVERSITY   (Australia)

^c KING'S COLLEGE LONDON   (United Kingdom)

^d UNIVERSITY OF NOTTINGHAM   (United Kingdom)

Author keywords

Healthcare; Quality and safety; Sociology; Theory

Indexed keywords

HUMAN; MANAGER; MENTAL HEALTH; ORGANIZATION; SAFETY; SOCIOLOGY; COMMUNITY CARE; HEALTH CARE DELIVERY; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HEALTH PERSONNEL ATTITUDE; HOSPITAL MANAGEMENT; MEDICAL SOCIOLOGY; ORGANIZATION AND MANAGEMENT; PATIENT SAFETY; STANDARDS;

ATTITUDE OF HEALTH PERSONNEL; COMMUNITY HEALTH SERVICES; DELIVERY OF HEALTH CARE; HEALTH PERSONNEL; HOSPITAL ADMINISTRATION; HUMANS; PATIENT SAFETY; QUALITY OF HEALTH CARE; SAFETY; SAFETY MANAGEMENT; SOCIOLOGY, MEDICAL;

EID: 84956823025     PISSN: 01419889     EISSN: 14679566     Source Type: Journal    
DOI: 10.1111/1467-9566.12390     Document Type: Article

References (87)

1. Allen, D. (2014) The Invisible Work of Nurses: Hospitals, Organisation and Healthcare. London: Routledge.
2. Allen, D. and Pilnick, A. (eds) (2006) The Social Organisation of Healthcare Work. London: Sage.
3. Annandale, E. (1996) Working on the front-line: risk culture and nursing in the new NHS, The Sociological Review, 44, 3, 416-51.
4. Arber, S. and Sawyer, L. (1985) The role of the receptionist in general practice: A 'dragon behind the desk'?, Social Science & Medicine, 20, 9, 911-21.
5. Austin, J.L. (1962) How to do Things with Words. Cambridge, MA: Harvard University Press.
6. Berg, M. (1996) Practice of reading and writing: the constitutive role of the patient record in medical work, Sociology of Health & Illness, 18, 4, 499-524.
7. Berg, M. (1997a) Rationalizing Medical Work: Decision-support Techniques and Medical Practices. Cambridge: Cambridge University Press.
8. Berg, M. (1997b) On distribution, drift and the electronic medical record: some tools for a sociology of the formal. J Hughes et al. (eds) Proceedings of the Fifth European Conference on Computer Supported Cooperative Work, 141-56. The Netherlands: Kluwer Academic Publishers.
9. Berg, M. (1997c) Problems and promises of the protocol, Social Science and Medicine, 44, 8, 1081-8.
10. Berg, M. (1999) Accumulating and coordinating: occasions for information technologies in medical work, Computer Supported Cooperative Work, 8, 4, 373-401.
11. Berg, M. and Timmermans, S. (2000) Orders and their others: on the constitution of universalities in medical work, Configurations, 8, 1, 31-61.
12. Bevir, M. (2013) A Theory of Governance. Berkeley, VA: University of California Press.
13. Bosk, C. (1979) Forgive and Remember: Managing Error: The Culture of Safety on the Shop Floor. Princeton, NJ: Institute for Advanced Study.
14. Bosk, C., Dixon-Woods, M., Goeschel, C.A., Pronovost, P., et al. (2009) Reality check for checklists, The Lancet, 374, 9688, 444-5.
15. Braithwaite, J., Westbrook, J. and Iedema, R. (2005) Restructuring as gratification, Journal of the Royal Society of Medicine, 98, 12, 542-4.
16. Braithwaite, J., Westbrook, M.T., Hindle, D., Iedema, R.A., et al. (2013) Does restructuring hospitals result in greater efficiency - an empirical test using diachronic data, Health Services Management Research, 19, 1, 1-12.
17. Braithwaite, J., Matsuyama, Y., Mannion, R., Johnson, J., et al. (2015) Healthcare Reform, Quality and Safety: Perspectives, Participants, Partnerships and Prospects in 30 Countries. Farnham: Ashgate.
18. Brown, N. and Webster, A. (2004) New Medical Technologies and Society. Cambridge: Polity Press.
19. Chang, A., Schyve, P.M., Croteau, R.J., O'Leary, D.S., et al. (2005) The JCAHO patient safety event taxonomy: a standardised terminology and classification schema for near misses and adverse events, International Journal for Quality in Healthcare, 17, 1, 95-105.
20. Collins, R. (2004) Interaction Ritual Chains. Princeton, NJ: Princeton University Press.
21. Copeman, J. and van Zwanenberg, T. (1988) Practice receptionists: poorly paid and taken for granted?, Journal of the Royal College of General Practitioners, 38, 1, 14-6.
22. Corbin, J. and Strauss, A. (1988) Unending Work and Care: Managing Chronic Illness at Home. San Francisco CA: Jossey Bass.
23. Coulter, A. and Ellis, J. (2006) Patient-focused Interventions: A Review of the Evidence. London: Picker Institute/Health Foundation.
24. Crossley, N. (2012) Towards Relational Sociology. London: Routledge.
25. Davidoff, F., Dixon-Woods, M., Leviton, L., Michie, S., et al. (2015) Demystifying theory and its use in improvement, BMJ Quality and Safety, 24, 3, 228-38.
26. Davis, R.E., Jacklin, R., Sevdalis, N., Vincent, C., et al. (2007) Patient involvement in patient safety: what factors influence patient participation and engagement?, Health Expectations, 10, 3, 259-67.
27. Denham, C.R. (2008) SBAR for patients, Journal of Patient Safety, 4, 1, 38-48.
28. Dingwall, R. and Allen, D. (2001) The implications of healthcare reforms for the profession of nursing, Nursing Inquiry, 8, 2, 64-74.
29. Dixon-Woods, M. (2010) Why is patient safety so hard? A selective review of ethnographic studies, Journal of Health Services Research and Policy, 15, 1, 1-16.
30. Dixon-Woods, M. (2013) The problem of context in quality improvement. In Perspectives on Context: A Selection of Essays Considering the Role of Context in Successful Quality Improvement. London: The Health Foundation.
31. Dixon-Woods, M., Bosk, C.L., Aveling, E.L., Goeschel, C.A., et al. (2011) Explaining Michigan: developing an ex post theory of a quality improvement program, The Milbank Quarterly, 89, 2, 167-205.
32. Dixon-Woods, M., Baker, R., Charles, K., Dawson, J., et al. (2014) Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study, BMJ Quality & Safety, 23, 2, 106-15.
33. Donaldson, L. (2009) An international language for patient safety: global progress in patient safety requires classification of key concepts, International Journal for Quality in Healthcare, 21, 1, 1.
34. Egberts, T.C.G., Smulders, M., de Koning, F.H.P., Meyboom, R.H.B., et al. (1996) 'Can adverse drug reactions be detected earlier? A comparison of reports by patients and professionals', BMJ, 313, 7056, 530-1.
35. Entwistle, V., McCaughan, D., Watt, I.S., Hall, J., et al. (2010) Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences, BMJ Quality & Safety, 19, 6, 1-7.
36. Entwistle, V.A., Michelle, M.M. and Brennan, T.A. (2005) Advising patients about patient safety: current initiatives risk shifting responsibility, Joint Commission Journal on Quality and Patient Safety, 31, 9, 483-94.
37. Fox, N. (1999) Postmodern reflections on "risk", "hazards" and life choices. In Lupton, D. (ed.) Risk and Sociocultural Theory. Cambridge: Cambridge University Press.
38. Fulop, N., Protopsaltis, G., King, A., Allen, P., et al. (2005) Changing organisations: a study of the context and processes of mergers of healthcare providers in England, Social Science and Medicine, 60, 1, 119-30.
39. Garfinkel, H. (1974) The origins of the term ethnomethodology. In Turner, R. (ed.) Ethnomethodology. Harmondsworth: Penguin.
40. Giddens, A. (1984) The Constitution of Society: Outline of the Theory of Structuration. Cambridge: Polity Press.
41. Goffman, E. (1974) Frame Analysis. An Essay on the Organisation of Experience. Boston, MA: Northeastern University Press.
42. Hajer, M. and Versteeg, W. (2005) Performing governance through networks, European Political Science, 4, 340-7.
43. Hall, J., Peat, M., Birks, Y. and Golder, S., on behalf of PIPS Group (2010) Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review, Quality Saf Healthcare, Oct, 19, 5, e10.
44. Hollnagel, E., Braithwaite, J. and Wears, R.L. (eds) (2013) Resilient Healthcare. Farnham: Ashgate.
45. Hughes, E.C. (1984) The Sociological Eye. New Brunswick, NJ: Transaction Books.
46. Iedema, R., Long, D., Carroll, K., Stenglin, M., et al. (2006) Corridor work: how luminal spaces becomes a resource for handling complexities of multidisciplinary healthcare, Pacific Researchers in Organisational Studies 11th Colloquium, 238-47. Available at http://search.informit.com.au/documentSummary;dn=305691933675194;res=IELBUS (accessed 27 July 2015).
47. Iedema, R., Sorensen, R., Manias, E., Tuckett, A., et al. (2008) Patients' and family members' experiences of open disclosure following adverse events, International Journal for Quality in Healthcare, 20, 6, 421-32.
48. Iedema, R., Allen, S., Britton, K., Piper, D., et al. (2011) Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study, BMJ, 343: d4423.
49. Illich, I. (1976) Medical Nemesis: The Exploration of Health. New York: Pantheon Books.
50. Infante, C. (2006) Bridging the "system's" gap between interprofessional care and patient safety: sociological insights, Journal of Interprofessional Care, 20, 5, 517-25.
51. Jensen, C.B. (2008) Sociology, systems and (patient) safety; knowledge translations in healthcare policy, Sociology of Health & Illness, 30, 2, 309-24.
52. Jones, A. and Kelly, D. (2014) Whistle-blowing and workplace culture in older peoples' care: qualitative insights from the healthcare and social care workforce, Sociology of Health & Illness, 36, 7, 986-1002.
53. Lindsay, P., Sandall, J. and Humphrey, C. (2012) The social dimensions of safety incident reporting in maternity care: The influence of working relationships and group processes, Social Science & Medicine, 75, 10, 1793-9.
54. Mackintosh, N. and Sandall, J. (2010) Overcoming gendered and professional hierarchies in order to facilitate escalation of care in emergency situations: the role of standardised communication protocols, Social Science & Medicine, 71, 9, 1683-6.
55. Macrae, C. (2014) Close Calls: Managing Risk and Resilience in Airline Flight Safety. Basingstoke: Palgrave Macmillan.
56. Magee, M. and Askham, J. (2008) Women's Views about Safety in Maternity Care: A Qualitative Study. London: The King's Fund/Picker Institute Maternity Services Inquiry.
57. May, C., Eton, D.T., Boehmer, K., Gallacher, K., et al. (2014) Rethinking the patient: using burden of treatment theory to understand the changing dynamics of illness, BMC Health Services Research, 14, 281.
58. Mesman, J. (2011) Uncertainty in Medical Innovation: Experienced Pioneers in Neonatal Care. Basingstoke: Palgrave Macmillan.
59. Mol, A. (2008) Health and the Problem of Patient Choice. New York: Routledge.
60. Ormond, S. (2003) Organisational culture in health service policy and research: 'third way political fad or policy development?, Policy and Politics, 31, 2, 227-37.
61. Oxman, A.D., Sackett, D.L., Chalmers, I., Prescott, T.E., et al. (2005) A surrealistic mega-analysis of redisorganisation theories, Journal of the Royal Society of Medicine, 98, 12, 563-8.
62. Peat, M., Entwistle, V., Hall, J., Birks, Y., et al. (2010) Scoping review and approach to appraisal of interventions intended to involve patients in patient safety, Journal of Health Services Research & Policy, 15, 1, 17-25.
63. Pellegrino, E.D. (2002) Professionalism, profession and the virtues of the good physician, Mt Sinai Journal of Medicine, 69, 6, 378-84.
64. Pellegrino, E.D. (2004) Prevention of medical error: Where professional and organisational ethics meet. Accountability: Patient Safety and Policy Reform. Washington, DC: Georgetown University Press.
65. Perrow, C. (1984) Normal Accidents: Living with High-Risk Technologies. Princeton, NJ: Princeton University Press.
66. Rainey, H., Sandall, J., Ehrich, K., Mackintosh, N., et al. (2013) The role of patients and their relatives in 'speaking up' about their own safety - a qualitative study of acute illness, Health Expectations, 18, 3, 392-405.
67. Rance, S., McCourt, C., Rayment, J., Mackintosh, N., et al. (2013) Women's safety alerts in maternity care: is speaking up enough?, BMJ Quality and Safety, 22, 4, 348-55.
68. Ray, E.M., Smith, R., Massie, S., Erickson, J., et al. (2009) Family alert: implementing direct family activation of a pediatric rapid response team, The Joint Commission Journal on Quality and Patient Safety, 35, 11, 575-80.
69. Rosenthal, M. (1995) The Incompetent Doctor. Buckingham: Open Press University.
70. Scott, W.R. (1995) Institutions and Organisations. Thousand Oaks, CA: Sage.
71. Snow, R., Humphrey, C. and Sandall, J. (2013) What happens when patients know more than their doctors? Diabetics' experiences of health interactions after patient education: a qualitative patient-led study, BMJ Open, 3, 11, e003583.
72. Strauss, A.L., Fagerhaugh, S., Suczek, B., Wiener, C., et al. (1985) Social Organisation of Medical Work. Chicago, IL: University of Chicago Press.
73. Swinglehurst, D. (ed.) (2015) The many meanings of 'quality' in healthcare: interdisciplinary perspectives, BMC Health Services Research, 15.
74. Swinglehurst, D., Greenhalgh, T., Russell, J., Myall, M., et al. (2011) Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study, British Medical Journal, 343, d6788.
75. Thompson, D.F. (1980) Moral responsibility of public officials: the problem of many hands, The American Political Science Review, 74, 4, 905-16.
76. Thompson, D.F. (2014) Responsibility for failures of government: the problem of many hands, American Review of Public Administration, 44, 3, 259-73.
77. Timmermans, S. and Berg, M. (1997) Standardization in action: achieving local universality through medical protocols, Social Studies of Science, 27, 2, 273-305.
78. Vaughan, D. (1997) The Challenger Launch Decision: Risky Technology, Culture and Deviance at NASA. Chicago, IL: University of Chicago Press.
79. Vaughan, D. (1999) The dark side of organisations: mistake, misconduct, and disaster, Annual Review of Sociology, 25, 271-305.
80. Vincent, C.A. and Coulter, A. (2002) Patient safety: what about the patient?, Quality and Safety in Healthcare, 11, 1, 76-80.
81. Waring, J. (2005) Beyond blame: cultural barriers to medical incident reporting, Social Science and Medicine, 60, 9, 1927-35.
82. Waring, J. (2013) What Safety-II might learn from the socio-cultural critique of safety-I. In Hollnagel, E., Braithwaite, J. and Wears, R. (eds) Resilient Healthcare. London: Ashgate.
83. Wears, R.L., Hollnagel, E. and Braithwaite, J. (2015) Resilient Healthcare, Volume 2: The Resilience of Everyday Clinical Work. Farnham: Ashgate.
84. Webster, A. (2002) Innovative health technologies and the social: redefining health, medicine and the body, Current Sociology, 50, 3, 443-57.
85. Weick, K.E. (1995) Sensemaking in Organisations. Thousand Oaks, CA: Sage.
86. Woloshynowych, M., Rogers, S., Taylor-Adams, S. and Vincent, C. (2005) The investigation and analysis of critical incidents and adverse events in healthcare, Health Technology Assessment, 9, 19, 1-143.
87. World Health Organisation (WHO) (2002) Quality of care: patient safety Resolution WHA55.18. Available at http://www.who.int/patientsafety/about/wha_resolution/en/ (accessed 7 November 2015).