Between demarcation and discretion: The medical-administrative boundary as a locus of safety in high-volume organisational routines

S Grant, B Guthrie - Social Science & Medicine, 2018 - Elsevier
Patient safety is an increasing concern for health systems internationally. The majority of
administrative work in UK general practice takes place in the context of organisational …

Safety and complexity: inter‐departmental relationships as a threat to patient safety in the operating department

J Waring, R McDonald, S Harrison - Journal of health organization …, 2006 - emerald.com
Purpose–Current thinking about “patient safety” emphasises the causal relationship
between the work environment and the delivery of clinical care. This research draws on the …

Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patient safety specialist role in the English National Health Service

G Martin, R Pralat, J Waring… - Journal of Health …, 2024 - journals.sagepub.com
Objectives: While safety-dedicated professional roles are common in other high-risk
industries, in health care they have tended to have a relatively narrow, technical focus. We …

The role of informal dimensions of safety in high-volume organisational routines: an ethnographic study of test results handling in UK general practice

S Grant, K Checkland, P Bowie, B Guthrie - Implementation Science, 2017 - Springer
Background The handling of laboratory, imaging and other test results in UK general
practice is a high-volume organisational routine that is both complex and high risk. Previous …

[PDF][PDF] Understanding the system in relation to safe medical work practices

S Høyland, K Aase, JG Hollund - Safety Science Monitor, 2011 - researchgate.net
Within existing health care safety research, limited attention has been paid to the
significance of “the system” in relation to team work, and the term system is also commonly …

Leadership: Patient safety depends on it!

M Murray, V Cope - Collegian, 2021 - Elsevier
Background Safety leadership in healthcare is required and should be encouraged from the
bedside through to the executive and is essential for the safety of the patients in our care …

Efficiency and thoroughness trade-offs in high-volume organisational routines: an ethnographic study of prescribing safety in primary care

S Grant, B Guthrie - BMJ Quality & Safety, 2018 - qualitysafety.bmj.com
Background Prescribing is a high-volume primary care routine where both speed and
attention to detail are required. One approach to examining how organisations approach …

How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway

K Malterud, A Aamland, A Fosse - Scandinavian journal of primary …, 2020 - Taylor & Francis
Objective: To describe experiences among general practitioners (GPs) in Norway regarding
horizontal task shifting experiences associated with adverse events that potentially put …

Variability: for better and for worse in safety assurance

BJM Ale, DND Hartford, DH Slater - Medical Research Archives, 2020 - esmed.org
Traditionally, in trying to design―safe‖ systems, variability has been seen as a threat,
because it brings with it the possibility of an unwanted outcome. Variability of hardware was …

Framework for better care: reconciling approaches to patient safety and quality

A Johnson, R Clay-Williams, P Lane - Australian Health Review, 2018 - CSIRO Publishing
In September 2017, the Royal Australasian College of Medical Administrators adopted a
new clinical governance framework that recognised healthcare as a complex adaptive …