Adaptive regulation or governmentality: patient safety and the changing regulation of medicine.

Justin Waring

Commentary

Adaptive regulation or governmentality: patient safety and the changing regulation of medicine.

April 11, 2007

Waring J. Sociol Health Illn. 2007;29(2):163-79.

View more articles from the same authors.

The author conducted an ethnographic study at one British hospital to investigate how policies related to the British National Health Service patient safety agenda affect regulatory change.

PubMed citation

Available at

Related Resources From the Same Author(s)

Doctors' thinking about 'the system' as a threat to patient safety.

January 3, 2007

"Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety.

September 1, 2010

Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap.

July 20, 2011

Patient safety culture in care homes for older people: a scoping review.

December 13, 2017

The limits of knowledge management for UK public services modernization: the case of patient safety and service quality.

July 2, 2008

Rules, safety and the narrativisation of identity: a hospital operating theatre case study.

March 15, 2006

'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department.

January 18, 2006

Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience.

January 16, 2019

An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?

January 29, 2014

Improving responses to safety incidents: we need to talk about justice.

February 23, 2022

Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study.

October 5, 2016

The problem with root cause analysis.

July 13, 2016

What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study.

March 3, 2021

PReSaFe: A model of barriers and facilitators to patients providing feedback on experiences of safety.

December 7, 2016

Patients' conceptualizations of responsibility for healthcare: a typology for understanding differing attributions in the context of patient safety.

June 5, 2019

Implementing a survey for patients to provide safety experience feedback following a care transition: a feasibility study

October 9, 2019

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

Effects of interorganisational information technology networks on patient safety: a realist synthesis.

December 9, 2020

What can safety cases offer for patient safety? A multisite case study.

October 11, 2023

Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability.

November 9, 2022

Using sociotechnical theory to understand medication safety work in primary care and prescribers' use of clinical decision support: a qualitative study.

May 24, 2023

Wireless technologies and patient safety in hospitals.

July 12, 2006

Evaluation of contextual influences on the medication administration practice of paediatric nurses.

May 13, 2009

Context matters: toward a multilevel perspective on context in clinical reasoning and error.

June 21, 2023

Older adults' awareness of deprescribing: a population-based survey.

February 28, 2018

Improving medication management through the redesign of the hospital code cart medication drawer.

January 18, 2012

Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature.

August 23, 2017

Detecting adverse drug events through data mining.

March 24, 2010

Is it time for safeguards in the adoption of robotic surgery?

May 15, 2019

Copy, paste, and cloned notes in electronic health records: prevalence, benefits, risks, and best practice recommendations.

May 7, 2014

How structural racism works - racist policies as a root cause of U.S. racial health inequities.

December 17, 2020

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation.

October 5, 2022

Good and bad reasons: the Swiss cheese model and its critics.

August 12, 2020

A mixed method study of the merits of e-prescribing drug alerts in primary care.

April 30, 2008

Hospital credentialing and privileging of surgeons: a potential safety blind spot.

April 15, 2015

Failure of crisis leadership in a global pandemic: some reflections on COVID-19 and future recommendations.

November 16, 2022

More than an apple a day: factors associated with avoidance of doctor visits among transgender, gender nonconforming, and nonbinary people in the USA.

September 23, 2020

Who is responsible for the safe introduction of new surgical technology? An important legal precedent from the da Vinci Surgical System Trials.

May 10, 2017

Pharmacists in pharmacovigilance: can increased diagnostic opportunity in community settings translate to better vigilance?

July 9, 2014

Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls?

June 8, 2022

Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process.

September 20, 2023

Prevented harm and cost avoidance with pharmacist intervention while utilizing a discharge medication reconciliation tool.

November 29, 2023

Tolerance of uncertainty and the practice of emergency medicine.

July 15, 2020

Variation in hospital mortality associated with inpatient surgery.

October 14, 2009

Wisdom through adversity: learning and growing in the wake of an error.

February 27, 2013

Predictors of serious opioid-related adverse drug events in hospitalized patients.

July 8, 2020

The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania.

September 29, 2010

Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care.

November 9, 2016

Evaluation of detected medication errors within the operating room at an academic medical center.

June 21, 2023

The source of purchased medications and its impact on medication mistakes and hospitalizations.

March 16, 2022

Education for the next frontier in patient safety: a longitudinal resident curriculum on diagnostic error.

January 11, 2017

Minding the gaps: assessing communication outcomes of electronic preconsultation exchange.

August 3, 2016

A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program.

January 28, 2015

Impact of diagnostic checklists on the interpretation of normal and abnormal electrocardiograms.

May 31, 2023

Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons.

March 2, 2022

Surgeon age and operative mortality in the United States.

October 25, 2006

Bar-code verification: reducing but not eliminating medication errors.

December 12, 2012

Hospital process compliance and surgical outcomes in Medicare beneficiaries.

October 27, 2010

Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning.

May 2, 2018

Is WHO's surgical safety checklist being hyped?

August 21, 2019

Evaluation of the effectiveness of a surgical checklist in Medicare patients.

January 7, 2015

Health literacy-informed communication to reduce discharge medication errors in hospitalized children: a randomized clinical trial.

January 31, 2024

Hospital-Acquired Condition Reduction Program is not associated with additional patient safety improvement.

December 4, 2019

Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events.

October 16, 2013

A call to bridge across silos during care transitions.

May 30, 2018

The impact of internal service quality on preventable adverse events in hospitals.

March 27, 2019

Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle.

September 29, 2021

Assessment of a safety enhancement to the hospital medication reconciliation process for elderly patients.

May 19, 2010

Early impact of the 2011 ACGME duty hour regulations on surgical outcomes.

January 13, 2016

Enhancing surgical safety using digital multimedia technology.

November 25, 2015

Wisdom in medicine: what helps physicians after a medical error?

September 23, 2015

Effect of noise on auditory processing in the operating room.

May 29, 2013

Emergency hospitalizations for unsupervised prescription medication ingestions by young children.

October 8, 2014

Training safer surgeons: how do patients view the role of simulation in orthopaedic training?

May 13, 2015

Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries.

February 18, 2015

The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment.

July 14, 2021

Changes in hospital-acquired conditions and mortality associated with the hospital-acquired condition reduction program.

September 29, 2021

Making use of mortality data to improve quality and safety in general practice: a review of current approaches.

April 25, 2007

Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients.

December 8, 2021

What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones.

July 18, 2018

Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes.

June 20, 2018

A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms.

November 29, 2017

Perceived disability-based discrimination in health care for children with medical complexity.

July 19, 2023

Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit.

November 6, 2019

Reducing preventable medication safety events by recognizing renal risk.

May 14, 2008

The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor.

February 8, 2012

Physician engagement in malpractice risk reduction: a UPHS case study.

August 29, 2018

Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography.

July 19, 2023

Drivers of unprofessional behaviour between staff in acute care hospitals: a realist review.

December 20, 2023

Patient Safety Innovations

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

September 29, 2021

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors.

September 8, 2021

Surgical team training: the Northwestern Memorial Hospital experience.

February 25, 2009

Addressing veteran health-related social needs: how Joint Commission standards accelerated integration and expansion of tools and services in the Veterans Health Administration.

December 6, 2023

Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know.

April 13, 2016

Safety considerations in learning new procedures: a survey of surgeons.

January 31, 2018

Proactive patient safety: focusing on what goes right in the perioperative environment.

May 24, 2023

Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.

September 14, 2022

Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections.

September 6, 2023

Clinicians' perspectives on proactive patient safety behaviors in the perioperative environment.

April 26, 2023

Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework.

November 13, 2019

Related Resources

National Healthcare Quality and Disparities Reports.

January 9, 2024

Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation.

April 5, 2023

National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020.

March 1, 2023

Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety.

November 16, 2022

Medical error and vulnerable communities.

November 16, 2022

A new category of "never events"-ending harmful hospital policies.

November 9, 2022

The Lancet Commission on lessons for the future from the COVID-19 pandemic.

October 12, 2022

Physicians and cognitive decline: a challenge for state medical boards.

September 7, 2022

Health care quality and safety in a correctional system: creating goals and performance measures for improvement.

August 17, 2022

Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation.

July 20, 2022

Hospital at Home: setting a regulatory course to ensure safe, high-quality care.

February 2, 2022

Good for You, Good for Us, Good for Everybody.

October 6, 2021

The Safety of Maternity Services in England.

August 25, 2021

Safety cases for digital health innovations: can they work?

July 14, 2021

How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications.

July 14, 2021

Patient safety functions of state medical boards in the United States.

April 21, 2021

Documenting a Day of Discussion: Ahead of the Crest of the Wave Creating the National Agenda for Systemic Change for Enhanced Clinician Well-Being.

April 14, 2021

Recognizing the importance of whistleblowers in healthcare.

April 14, 2021

Addressing systemic racism in nursing homes: a time for action.

April 14, 2021

Systems approach to health service design, delivery and improvement: a systematic review and meta-analysis.

February 3, 2021

The Life and Death of Elizabeth Dixon: A Catalyst for Change.

December 9, 2020

Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.

November 25, 2020

National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages.

November 4, 2020

An effective intervention: limiting opioid prescribing as a means of reducing opioid analgesic misuse, and overdose deaths.

September 23, 2020

Sensemaking and learning during the Covid-19 pandemic: a complex adaptive systems perspective on policy decision-making.

September 16, 2020

The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.

July 29, 2020

Preventing a parallel pandemic - a national strategy to protect clinicians' well-being.

June 10, 2020

The coronavirus and the risks to the elderly in long-term care.

May 6, 2020

When a vital sign leads a country astray—the opioid epidemic.

September 4, 2019

Moving towards a Safety II approach.

August 7, 2019

See More About The Topic

Organizational Behaviorists

Policy Makers

Regulation

Adaptive regulation or governmentality: patient safety and the changing regulation of medicine.

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Adaptive regulation or governmentality: patient safety and the changing regulation of medicine.

Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site