Enacting corporate governance of health care safety and quality: a dramaturgy of hospital boards in England

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Enacting corporate governance of health care safety and quality: a dramaturgy of hospital boards in England. / Freeman, Tim; Millar, Ross; Mannion, Russell; Davies, Huw.

In: Sociology of Health and Illness, Vol. 38, No. 2, 15.01.2016, p. 233–251.

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@article{c191a7c33e044f3fab4775137d4b2465,
title = "Enacting corporate governance of health care safety and quality: a dramaturgy of hospital boards in England",
abstract = "The governance of patient safety is a challenging concern for all health systems.Yet, while the role of executive boards receives increased scrutiny, the arearemains theoretically and methodologically underdeveloped. Specifically, we lack a detailed understanding of the performative aspects at play: what board members say and do to discharge their accountabilities for patient safety. This article draws on qualitative data from overt non-participant observation of four NHS hospital Foundation Trust boards in England. Applying a dramaturgical framework to explore scripting, setting, staging and performance, we found important differences between case study sites in the performative dimensions of processing and interpretation of infection control data. We detail the practices associated with these differences - the legitimation of current performance, the querying of data classification, and the naming and shaming of executives – to consider their implications.",
author = "Tim Freeman and Ross Millar and Russell Mannion and Huw Davies",
year = "2016",
month = "1",
day = "15",
doi = "10.1111/1467-9566.12309",
language = "English",
volume = "38",
pages = "233–251",
journal = "Sociology of Health and Illness",
issn = "0141-9889",
publisher = "Wiley Online Library",
number = "2",

}

RIS

TY - JOUR

T1 - Enacting corporate governance of health care safety and quality: a dramaturgy of hospital boards in England

AU - Freeman, Tim

AU - Millar, Ross

AU - Mannion, Russell

AU - Davies, Huw

PY - 2016/1/15

Y1 - 2016/1/15

N2 - The governance of patient safety is a challenging concern for all health systems.Yet, while the role of executive boards receives increased scrutiny, the arearemains theoretically and methodologically underdeveloped. Specifically, we lack a detailed understanding of the performative aspects at play: what board members say and do to discharge their accountabilities for patient safety. This article draws on qualitative data from overt non-participant observation of four NHS hospital Foundation Trust boards in England. Applying a dramaturgical framework to explore scripting, setting, staging and performance, we found important differences between case study sites in the performative dimensions of processing and interpretation of infection control data. We detail the practices associated with these differences - the legitimation of current performance, the querying of data classification, and the naming and shaming of executives – to consider their implications.

AB - The governance of patient safety is a challenging concern for all health systems.Yet, while the role of executive boards receives increased scrutiny, the arearemains theoretically and methodologically underdeveloped. Specifically, we lack a detailed understanding of the performative aspects at play: what board members say and do to discharge their accountabilities for patient safety. This article draws on qualitative data from overt non-participant observation of four NHS hospital Foundation Trust boards in England. Applying a dramaturgical framework to explore scripting, setting, staging and performance, we found important differences between case study sites in the performative dimensions of processing and interpretation of infection control data. We detail the practices associated with these differences - the legitimation of current performance, the querying of data classification, and the naming and shaming of executives – to consider their implications.

U2 - 10.1111/1467-9566.12309

DO - 10.1111/1467-9566.12309

M3 - Article

VL - 38

SP - 233

EP - 251

JO - Sociology of Health and Illness

JF - Sociology of Health and Illness

SN - 0141-9889

IS - 2

ER -