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A transactional approach to patient safety: understanding safe care as a collaborative accomplishment.

Within the last two decades, it has been commonly agreed that patient safety and error management in healthcare organizations can best be attained by adopting a systems approach via re-engineering efforts and the introduction of industrial safety technologies and methodologies. This strategy has not...

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Published in:Journal of Interprofessional Care Vol. 35; no. 4; pp. 503 - 514
Main Authors: Pedersen, Kirstine Z., Mesman, Jessica
Format: pictorial Journal Article
Published: Taylor & Francis Ltd Jul-Aug2021
Online Access:View this record in EBSCOhost
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      dt: Jul-Aug2021
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/13561820.2021.1874317
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        atl: A transactional approach to patient safety: understanding safe care as a collaborative accomplishment.
      aug:
        au:
          Pedersen, Kirstine Z.
          Mesman, Jessica
        affil: Department of Organization, Copenhagen Business School, Frederiksberg, Denmark
      sug:
        subj:
          Patient Safety
          Health Care Delivery, Integrated
          Collaboration
          Multidisciplinary Care Team
          Videorecording
          Quality of Health Care
          Health Care Errors Prevention and Control
          Occupational Safety
          Health Behavior
      ab: Within the last two decades, it has been commonly agreed that patient safety and error management in healthcare organizations can best be attained by adopting a systems approach via re-engineering efforts and the introduction of industrial safety technologies and methodologies. This strategy has not delivered the expected result. Based on John Dewey's pragmatism, we propose another vocabulary for understanding, inquiring into and learning from safety situations in healthcare. Drawing especially on Dewey's understanding of transaction as the inseparability between human and environment, we develop an analytical approach to patient safety understood as a transactional accomplishment thoroughly dependent on the quality of situated and shared habits and collaborative practices in healthcare. We further illustrate methodologically how a transactional attitude can be situationally practised through video-reflexive ethnography, a method that allows for inquiry into mundane safety practices by letting interprofessional teams see, reflect upon and possibly modify their shared practices and safety habits.
      pubtype: Academic Journal
      doctype:
        pictorial
        Journal Article
      ougenre: Article
    language: English
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