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

Freeman, Tim, Millar, Ross, Mannion, Russell and Davies, Huw (2016) Enacting corporate governance of health care safety and quality: a dramaturgy of hospital boards in England. Sociology of Health and Illness, 38 (2). pp. 233-251. ISSN 0141-9889

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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 area remains 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.

Item Type: Article
Additional Information: Article first published online: 4 AUG 2015 © 2015 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
Research Areas: A. > Business School > Leadership, Work and Organisations
Item ID: 15709
Notes on copyright: This is the peer reviewed version of the following article:healthcare safety and quality: a dramaturgy of hospital boards in England. Sociol Health Illn, 38: 233–251. doi:10.1111/1467-9566.12309, which has been published in final form at http://dx.doi.org/10.1111/1467-9566.12309. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
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Depositing User: Tim Freeman
Date Deposited: 01 May 2015 12:00
Last Modified: 23 Apr 2019 18:04
URI: https://eprints.mdx.ac.uk/id/eprint/15709

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