Healthcare quality and safety: a review of policy, practice and research

Waring, J., Allen, Davina Ann ORCID: https://orcid.org/0000-0002-6729-7502, Braithwaite, J. and Sandall, J. 2016. Healthcare quality and safety: a review of policy, practice and research. Sociology of Health and Illness 38 (2) , pp. 198-215. 10.1111/1467-9566.12391

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Abstract

Over the last two decades healthcare quality and safety have risen to the fore of health policy and research. This has largely been informed by theoretical and empirical ideas found in the fields of ergonomics and human factors. These have enabled significant advances in our understanding and management of quality and safety. However, a parallel and at time neglected sociological literature on clinical quality and safety is presented as offering additional, complementary, and at times critical insights on the problems of quality and safety. This review explores the development and contributions of both the mainstream and more sociological approaches to safety. It shows that where mainstream approaches often focus on the influence of human and local environment factors in shaping quality, a sociological perspective can deepen knowledge of the wider social, cultural and political factors that contextualise the clinical micro-system. It suggests these different perspectives can easily complement one another, offering a more developed and layered understanding of quality and safety. It also suggests that the sociological literature can bring to light important questions about the limits of the more mainstream approaches and ask critical questions about the role of social inequality, power and control in the framing of quality and safety.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Publisher:	Wiley-Blackwell
ISSN:	0141-9889
Last Modified:	01 Nov 2022 09:30
URI:	https://orca.cardiff.ac.uk/id/eprint/88205

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