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Recovering the performative role of innovations in the Global Travel of Healthcare Practices : is there a ghost in the machine?

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Nicolini, Davide , Mengis, Jeanne, Meacheam, David, Waring, Justin and Swan, Jacky (2016) Recovering the performative role of innovations in the Global Travel of Healthcare Practices : is there a ghost in the machine? In: Swan, Jacky and Newell, Sue and Nicolini, Davide, (eds.) Mobilizing Knowledge in Healthcare: Challenges for Management and Organization. Oxford: Oxford: University Press, 177 -198. ISBN 9780198738237

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Abstract

This chapter discusses the global travel of a specific approach to incident investigation (Root Cause Analysis or RCA for short). We assess how knowledge of the technique was mobilized, from the United States to Australia, the United Kingdom and beyond. We argue that the globalization and world spanning circulation of this set of practices was sustained and facilitated by the construction of an “anxiety-reassurance” package. This package raised public and professional anxiety about patient safety and created reassurance by proposing a new management solution to solve this problem. Playing together these two seemingly opposite discourses, the innovation generated a wave of interest and urgency that it then rode and that allowed rapid globalization. We suggest that a focus on the innovation as a well-oiled piece of discursive machinery helps us to understand the active role of innovations in fuelling their own translation without reverting to the old idea that innovations are “diffused.”

Item Type: Book Item
Subjects: P Language and Literature > P Philology. Linguistics
R Medicine > RA Public aspects of medicine
T Technology > TA Engineering (General). Civil engineering (General)
Divisions: Faculty of Social Sciences > Warwick Business School > Innovation, Knowledge & Organisational Networks Research Unit
Faculty of Social Sciences > Warwick Business School
Library of Congress Subject Headings (LCSH): Medical care -- Safety measures -- United States, Medical care -- Safety measures -- Great Britain, Medical care -- Safety measures -- Australia, Root cause analysis , Discourse analysis
Publisher: Oxford: University Press
Place of Publication: Oxford
ISBN: 9780198738237
Book Title: Mobilizing Knowledge in Healthcare: Challenges for Management and Organization
Editor: Swan, Jacky and Newell, Sue and Nicolini, Davide
Official Date: 14 July 2016
Dates:
DateEvent
14 July 2016UNSPECIFIED
Number of Pages: 288
Page Range: 177 -198
Status: Not Peer Reviewed
Publication Status: Published
Funder: Engineering and Physical Sciences Research Council (EPSRC)
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