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Posted Thu, 6 Nov 2008 15:50:13
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PSSQ Research Centre Forum Seminar  -  4th December 2008 -  at 5.30pm
Room G73, Kings College London, Franklin Wilkins Building, 150 Stamford Street, London, SE1 9NH

We are pleased to invite you to the second seminar in the NIHR King's
Patient Safety & Service Quality Forum.


Professor Mary Dixon-Woods from University of Leicester will be presenting on
"Risky business: reasoning and identity practices in patient safety".

Patient safety interventions are increasingly aimed at deep change in organisations. An understanding of how staff identify, classify and narrativise the causes and proper solutions to patient safety risks is important in indicating how interventions might succeed in effecting change.  In this paper we describe an ethnographic study of four medical wards in hospitals that were participating in the Health Foundation's Safer Patients Initiative, an organisation-wide patient safety improvement programme. Data analysis of observations and interviews was based on the constant comparative method. We found that staff were routinely engaged in making sense of, and rationalising, the formal and informal practices in which they were engaged. Staff oriented to risks in the context of busy and complex ward environments, which influenced how they accounted for risk both discursively and practically. They engaged in practices of determining what gets to count as a risk, how such risks should properly be managed, and how to account for what they have done. Staff practices and reasoning in relation to risk emerged through their practical engagement in the everyday work of the wards, but were also shaped by social imperatives. Risks, in the environment we studied, were not simply risks to patient safety; when things went wrong, professional identity was at risk too. These ways of identifying, evaluating and addressing risks are likely to be highly influential in staff responses to efforts to effect change, and highlight the challenges in designing and implementing patient safety interventions.   



To secure a place please RSVP to [log in to unmask]

All welcome at our open Seminars.
Other Forum activities require registration with the Forum. To join the
Forum please register on our website www.kingspssq.org.


Apologies for any cross posting

Xanthe Henson
Centre Administrator
KCL Tel/Fax 0207 848 7152
KCH Tel 0203 299 4660
NIHR King's Patient Safety & Service Quality Research Centre, Kings College London -2 Basement (Room GL12), Strand Bridge House, 138-142 Strand, London WC2R 1HH 
NIHR PSSQ Centre, Kings College Hospital, 3 Binfield Court, 111 Coldharbour Lane, London SE5 9NU

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