Organizing Patient Safety
Failsafe Fantasies and Pragmatic Practices
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Beschreibung
This book examines the organizational consequences of the recent international preoccupation with managing patient safety in the clinic. Built on presuppositions about failsafe system-design, risk elimination, and human fallibility, the patient safety programme introduces new problems and safety threats in clinical practice by devaluing practical forms of reasoning and the trained safety dispositions of clinicians. Developing a pragmatic and more situated stance on patient safety, Pedersen offers an alternative vocabulary that refocuses attention towards the importance of conduct, habits and experience-based learning in delivering safe care. This innovative book will be of great interest to scholars and practitioners of organization and risk studies, health, science and technology studies and the wider social and medical sciences.
This book examines the organizational consequences of the recent international preoccupation with managing patient safety in the clinic. Built on presuppositions about failsafe system-design, risk elimination, and human fallibility, the patient safety programme introduces new problems and safety threats in clinical practice by devaluing practical forms of reasoning and the trained safety dispositions of clinicians.
Developing a pragmatic and more situated stance on patient safety, Pedersen offers an alternative vocabulary that refocuses attention towards the importance of conduct, habits and experience-based learning in delivering safe care. This innovative book will be of great interest to scholars and practitioners of organization and risk studies, health, science and technology studies and the wider social and medical sciences.
Investigates the rationalities and implications of the recent international preoccupation with patient safety in healthcare Pinpoints tensions and problems involved in introducing specific standardised and centralised management technologies into situated work practices Offers the reader an alternative vocabulary for understanding and approaching safety and risk in healthcare
Autor*in
Kirstine Zinck Pedersen
Themen in »Organizing Patient Safety«
Health Care Nursing The Swiss Cheese Model Medical Misconduct International patient safety policy programme To Err is Human John Dewey The patient safety curriculum in medical schools factor-ten error The Root Cause Analysis
Stimmen zu »Organizing Patient Safety«
“This is a well-written and genuinely innovative book which should be of great interest to scholars and practitioners of organisation and risk studies, health, science and technology studies and the wider social and medical sciences.” (The RoSPA OS&H Journal, May, 2018)
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“The book is a tour de force dissection of the multiple dubious organizational assumptions on which patient safety policies and practices rest. It is an invaluable aid for anyone who is puzzled why safer patient care is so difficult to achieve.” (Charles L. Bosk, University of Pennsylvania)
“This is an important and timely book whose insights and approach resonate well beyond the confines of healthcare generally and patient safety specifically. Adopting and advocating a pragmatic stance towards fashionable modes of organizing and managing in the public sector and the conventional forms of critique that accompany them, Pedersen proffers a subtle and compelling argument that brilliantly combines practical rationality with ethical seriousness.” (Paul Du Gay, Royal Holloway, University of London)
“Mixing theory and detailed cases this book analyses the changing meanings and organizational configurations of patient safety. Pedersen shows how the entanglement of zero-risk accountability requirements, system fantasies, and technologies of patient risk management, continuously produce unintended consequences. As a corrective she proposes a pragmatic and learning-based approach to patient safety drawing on the work of Dewey. Organizing Patient Safety will be of great interest to a wide variety of scholars working in organization and risk studies, as well to health policy makers.” (Michael Power, London School of Economics and Political Science)
“A well-posed problem, paraphrasing Bergson, is far better than a solution provided on the backdrop of badly posed problem. This book resists the natural urge to focus on a solution when confronted with the problem of patient safety. Instead Kirstine Zinck Pedersen provides a thorough, in-depth analysis of the problems in a time where everybody is in haste to solve them, and by implication she provides a sensitive way forward. Interestingly, she does not only criticize the presumptions that are at the basis of the dominant patient safety policies, but also the available alternatives as reproducing the dichotomies from the other end of the spectrum. Instead Pedersen provides an alternative that goes beyond the binary. Moreover, her focus is not on the effect of safety programs on patients but for the health care professionals. This excellent book opens a window in your head: Enjoy the view!” (Jessica Mesman, Maastricht University)
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