Narrativizing errors of care: critical incident reporting in clinical care

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dc.contributor.author Iedema, Roderick en_US
dc.contributor.author Flabouris, Arthas en_US
dc.contributor.author Grant, Susan en_US
dc.contributor.author Jorm, Christine en_US
dc.contributor.editor en_US
dc.date.accessioned 2010-05-28T09:56:10Z
dc.date.available 2010-05-28T09:56:10Z
dc.date.issued 2006 en_US
dc.identifier 2006004436 en_US
dc.identifier.citation Iedema Roderick et al. 2006, 'Narrativizing errors of care: critical incident reporting in clinical care', Elsevier Ltd, vol. 62, no. 1, pp. 134-144. en_US
dc.identifier.issn 0277-9536 en_US
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/10416
dc.description.abstract This paper considers the rise across acute care settings in the industrialized world of techniques that encourage clinicians to record their experiences about adverse events they are personally involved in; that is, to share narratives about errors, mishaps or `critical incidents?. The paper proposes that critical incident reporting and the `root cause? investigations it affords, are both central to the effort to involve clinicians in managing and organizing their work, and a departure from established methods and approaches to achieve clinicians? involvement in these non-clinical domains of health care. We argue that critical incident narratives render visible details of the clinical work that have thus far only been discussed in closed, paperless meetings, and that, as narratives, they incite individuals to share personal experiences with parties previously excluded from knowledge about failure. Drawing on a study of 124 medical retrieval incident reports, the paper provides illustrations and interpretations of both the narrative and the meta-discursive dimensions of critical incident reporting. We suggest that, as a new and complex genre, critical incident reporting achieves three important objectives. First, it provides clinicians with a channel for dealing with incidents in a way that brings problems to light in a non-blaming way and that might therefore be morally satisfying and perhaps even therapeutic. Second, these narrations make available new spaces for the apprehension, identification and performance of self. en_US
dc.language en_US
dc.publisher Elsevier Ltd en_US
dc.relation.isbasedon http://dx.doi.org/10.1016/j.socscimed.2005.05.013 en_US
dc.title Narrativizing errors of care: critical incident reporting in clinical care en_US
dc.parent Social Science and Medicine en_US
dc.journal.volume 62 en_US
dc.journal.number 1 en_US
dc.publocation Oxford, UK en_US
dc.identifier.startpage 134 en_US
dc.identifier.endpage 144 en_US
dc.cauo.name FASS.Faculty of Arts and Social Sciences en_US
dc.conference Verified OK en_US
dc.for 200100 en_US
dc.personcode 100638 en_US
dc.personcode 0000024490 en_US
dc.personcode 0000028334 en_US
dc.personcode 102618 en_US
dc.percentage 100 en_US
dc.classification.name Communication and Media Studies en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Critical incident reporting; Adverse event; Narrative; Acute care; Discourse genre; Self identity en_US
dc.staffid 102618 en_US


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