Telling cultures
Cultural' issues for staff reporting concerns about colleagues in the UK National Health Service
Bibliographic Data
| ID | 2265779 |
|---|---|
| Authors | Kathryn Ehrich (King's College London, corresponding author) |
| Year | 2006 |
| Volume | 28 |
| Issue | 7 |
| Pages | 903-926 |
| Publication date | 2006-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1467-9566.2006.00512.x |
| PMID | 17163859 |
| OpenAlex | W2018065281 |
| Language | EN |
| Citations received | 9 |
| References cited | 27 |
Recent UK health policy initiatives promote a 'no blame culture' and learning from adverse events to enhance patient safety in the NHS. Similar initiatives exist in the USA and Australia. Changing the 'blame culture' in the NHS has been advocated in policy documents and inquiry reports for over a decade. Some key concepts that are used in the policy discourse -'blame'; mistakes, errors and misdemeanours; and 'culture'- are examined and considered in the light of pertinent social science literature to question some of the assumptions concerning these terms in the policy discourse, and to suggest some alternative questions and perspectives. The Three Inquiries, a recent series of statutory inquiries held in the UK, are used as a case study to explore some of the intra- and inter-professional difficulties of reporting errors and misconduct by medical practitioners. The paper offers an interpretive social science perspective as an alternative to more policy oriented and managerial approaches to patient safety issues, focusing on deeper structural aspects of organisational phenomena implicated in the ability or otherwise of medical and other healthcare staff to report mistakes and misconduct as one aspect of patient safety
Blame · Health care · Misconduct · Organizational culture · Patient safety · Political science · Public relations · Sociology · Statutory law · Healthcare Quality and Management · Law · Medical Malpractice and Liability Issues · Patient Safety and Medication Errors · Psychology · Social Psychology
Knights” or “Knaves”? Public Policy, Professional Power, and Reforming Maternity Services
Accountability, organisational learning and risks to patient safety in England
Cultures of caring
Risk-based regulation and reforms to fitness to practise tribunals in the United Kingdom
Towards democratic governance of uncertainty? Contesting notions of participation, control and accountability
Healthcare quality and safety
Harmed patients gaining voice
The role of the informal and formal organisation in voice about concerns in healthcare
Infections and interaction rituals in the organisation
Human Error
Incidence of Adverse Events and Negligence in Hospitalized Patients
From Role-Playing to Role-Using
The Incompetent Doctor
The Unity of Mistakes
Forgive and Remember
Role as Resource for Action in Public Service
Healthcare Performance and Organisational Culture
Professional Dominance
Risk and Blame
Defensive medicine during hospital obstetrical care
Beyond blame
Culture
Forgive and Remember
Exposing Silence as Cultural Censorship
The Dark Side of Organizations
The malpractice crisis and the doctor-patient relationship
Some of our concepts are missing
Role as Resource in the Hollywood Film Industry
| Unique citing works | 9 |
|---|---|
| Citations per year | 0,56 |
| Citation span | 2010 - 2021 (12) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 8 |