| Multiple accountabilities in incident reporting and management. | |
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MedLine Citation:
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PMID: 20479138 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In this article, we examine the current and increasing emphasis on accountability and patient safety in health care, focusing on practices of incident reporting and management in New South Wales, Australia. We describe the frames of accountability associated with an incident reporting system, and explore how this system manifests in practice. In contrast to literature that situates incident reporting and local practices as oppositional, we used ethnographic methods to observe the incident management practices of clinical staff in a hospital, and found evidence to characterize this relationship differently. We found that accountability has multiple conceptualizations, and we present three findings that demonstrate how the reporting system and incident management policy are interwoven with local enactments of accountability. We suggest that systematic efforts toward improvement cannot be divorced from the local context, and emphasize the importance of local ecologies of practice in facilitating the meaningful utilization of such incident reporting systems. |
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Authors:
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Su-yin Hor; Rick Iedema; Katrina Williams; Les White; Peter Kennedy; Andrew S Day |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-05-17 |
Journal Detail:
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Title: Qualitative health research Volume: 20 ISSN: 1049-7323 ISO Abbreviation: Qual Health Res Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-20 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9202144 Medline TA: Qual Health Res Country: United States |
Other Details:
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Languages: eng Pagination: 1091-100 Citation Subset: T |
Affiliation:
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University of Technology, Sydney, New South Wales, Australia. suyin.hor@student.uts.edu.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anthropology, Cultural
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methods Communication Culture Health Policy* Humans Interdisciplinary Communication* New South Wales Patient Care / methods*, standards Patient Care Team / organization & administration* Risk Management / methods*, organization & administration Safety / standards* Social Responsibility* |
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