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Patient safety in the interface between hospital and risk regulator1

Bibliographic Data

ID12597274
AuthorsSiri Wiig (0000-0003-0186-038X, University of Stavanger, corresponding author), Preben H Lindøe (University of Stavanger)
Year2009
Volume12
Issue3-4
Pages411-426
Publication date2009-06-01
Open AccessNo
TypeARTICLE
VenueJournal of Risk Research (JOURNAL)
Journal identifiersISSN: 1366-9877 • E-ISSN: 1466-4461
PublisherRoutledge (PUBLISHER • GB)
DOI10.1080/13669870902952879
OpenAlexW1998332223
LanguageEN
Citations received1
References cited38

The paper explores how regulatory practice affects procedures and routines regarding patient safety in hospitals. The paper is based on a multi‐level case study within the Norwegian healthcare system. In this paper we investigate methods of operations between the risk regulator and the regulatee by emphasizing systematic and incidental activities performed in the interface; and by assessing the regulators' underlying models of understanding errors. Our study indicates that despite a strong commitment from the top management and increased awareness and efforts within the hospital, methods of operation between risk regulator and hospital do not have a substantial impact on patient safety improvement and learning from errors within the hospital. The study shows that patient safety is exposed to pressures from internal mechanisms (e.g. occupational subcultures, regulatory styles, underreporting) and external mechanisms (e.g. public attitudes, organized interests, media cover) with consequences that have to be managed across organizational interfaces. Thus, understanding of vertical risk governance processes and the involved organizational interfaces is vital

Business · Corporate governance · Health care · Interface (matter · Knowledge management · Management · Norwegian · Operations management · Patient safety · Political science · Public hospital · Public relations · Regulator · Risk analysis (engineering · Risk management · Safety culture · Computer Science · Engineering · Healthcare Quality and Management · Medical Malpractice and Liability Issues · Medicine · Nursing · Occupational Health and Safety Research · Finance

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Citations per year0.13
Citation span2018 - 2018 (1)
Highly citedNo

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