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Narratives of professional regulation and patient safety : the case of medical devices in anaesthetics

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Currie, Graeme, Humpreys, Michael, Waring, Justin and Rowley, Emma (2009) Narratives of professional regulation and patient safety : the case of medical devices in anaesthetics. Health, Risk & Society, Vol.11 (No.2). pp. 117-135. doi:10.1080/13698570902784257

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Official URL: http://dx.doi.org/10.1080/13698570902784257

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Abstract

Government prescription for the management of clinical risk and patient safety relies upon the development of a shared perspective between stakeholders engaged in the delivery of healthcare about what constitutes clinical risk and what mechanisms are suitable to manage such risk to ensure patient safety. However, there are tensions arising from notions of clinical risk and its management, specifically between healthcare professionals and those managers given responsibility for implementation of policy. Central to these tensions are issues of legitimacy, power and identity in claims about how risk should be managed. Aligned with an emerging body of literature that takes a narrative approach to change in healthcare systems (e.g. Currie and Brown 2003), including patient safety (e.g. McDonald et al. 2005, 2006), our paper examines how healthcare professionals make sense of the regulation of single use medical devices (SUDs) in anaesthesia. Our study indicates that there is considerable resistance to detailed surveillance of SUDs. It appears that doctors author a narrative that privileges clinical judgement over managerial control in the use of SUDs, and this has come to be adopted by other healthcare professionals and managers. This may undermine future policy aspirations for the tighter regulation of clinical autonomy.

Item Type: Journal Article
Subjects: H Social Sciences > HD Industries. Land use. Labor
Divisions: Faculty of Social Sciences > Warwick Business School > International Centre for Governance & Public Management
Faculty of Social Sciences > Warwick Business School
Journal or Publication Title: Health, Risk & Society
Publisher: Routledge
ISSN: 1369-8575
Official Date: 2009
Dates:
DateEvent
2009Published
Volume: Vol.11
Number: No.2
Number of Pages: 19
Page Range: pp. 117-135
DOI: 10.1080/13698570902784257
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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