Still Not Safe: Patient Safety and the Middle-Managing of American Medicine

Robert L. Wears · Kathleen M. Sutcliffe

Jun 2020 · Tantor Media Inc · Narrated by Mike Lenz

Audiobook

7 hr 12 min

Unabridged

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About this audiobook

Still Not Safe is the story of the rise of the patient-safety movement-and how an "epidemic" of medical errors was derived from a reality that didn't support such a characterization. Physician Robert Wears and organizational theorist Kathleen Sutcliffe trace the origins of patient safety to the emergence of market trends that challenged the place of doctors in the larger medical ecosystem: the rise in medical litigation and physicians' aversion to risk; institutional changes in the organization and control of healthcare; and a bureaucratic movement to "rationalize" medical practice-to make a hospital run like a factory. If these social factors challenged the place of practitioners, then the patient-safety movement provided a means for readjustment. In spite of relatively constant rates of medical errors in the preceding decades, the "epidemic" was announced in 1999 with the publication of the Institute of Medicine report To Err Is Human; the reforms that followed came to be dominated by the very professions it set out to reform.

About the author

Robert L. Wears (1947-2017) was professor in the Department of Emergency Medicine at the University of Florida. His research focused on technical work studies, joint cognitive systems, and understanding the nature of safety and resilience in complex socio-technical systems, including medicine and healthcare.

Kathleen M. Sutcliffe is a Bloomberg Distinguished Professor of Business and Medicine at Johns Hopkins University with appointments in the Carey Business School, School of Medicine, and the Armstrong Institute for Patient Safety and Quality.

Mike Lenz has been an audiobook narrator and voice actor for more than fourteen years. Having narrated titles in genres ranging from fiction, entertainment, science, and children's literature to Christian, business, self-help, and history, Mike loves bringing nonfiction and fiction stories to life.

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